Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Mark Stephenson, MD

Individual provider Otolaryngology Physician · NPI 1760800353

Ryan Mark Stephenson, MD is an Otolaryngology in Provo, Utah. Graduated from University of Pittsburgh School of Medicine in 2014, 12 years ago. Practices with Peak ENT Associates, a 20-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
12
Trained at
University of Pittsburgh School of Medicine
Licensed in
UT
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 N 300 W Ste 401
Provo, UT 84604-3306
Phone: (801) 357-7499
Fax: (801) 373-5980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 11782944-1205 (UT)

Record details

NPI number1760800353
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2014
Last updated in NPPESMarch 3, 2022
Certification dateMarch 3, 2022
Mailing address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Peak Ent Associates — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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