IndividualActive
Jonathan Stevens, MD
NPI 1366495178 · Neuromusculoskeletal Medicine & OMM Physician · Ponderay, ID
Provider details
- NPI number
- 1366495178
- Entity type
- Individual
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M7507 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 Vermeer Dr Unit 1
Ponderay, ID 83852-9802
Phone: (208) 266-1677
Fax: (208) 266-0440
Street-level locationGet directions
Mailing address
Po Box 353
Clark Fork, ID 83811
Additional practice locations (2)
- 60319 Highway 200Clark Fork, ID 83811Phone: (208) 266-1677Fax: (208) 266-0440
- 750 N Syringa St Ste 203Post Falls, ID 83854-5275Phone: (208) 266-1677Fax: (208) 765-5654
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.