Provider Demographics
NPI:1164634887
Name:JAMES-STEVENSON, TOYIA NICOLE (MD)
Entity type:Individual
Prefix:
First Name:TOYIA
Middle Name:NICOLE
Last Name:JAMES-STEVENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 N. RITTER AVENUE
Mailing Address - Street 2:SUITE 370
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-3098
Mailing Address - Country:US
Mailing Address - Phone:317-355-1144
Mailing Address - Fax:317-355-1155
Practice Address - Street 1:1400 N. RITTER AVENUE
Practice Address - Street 2:SUITE 370
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-3098
Practice Address - Country:US
Practice Address - Phone:317-355-1144
Practice Address - Fax:317-355-1155
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01066296A207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000713752OtherANTHEM PTAN
IN200932780Medicaid