Active NPI
Steven M Levine, MD
- Surgery Physician
- St Petersburg, FL
National Provider Identifier
1003933193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0044283
- Practice address
- 4957 38TH Ave N
Suite C
St Petersburg, FL 33710 - Phone
- (727) 521-4402
- Fax
- (727) 521-1622
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0044283 | FL | Primary |
| Vascular Surgery Physician | 2086S0129X | ME0044283 | FL |
Addresses
Primary practice location
4957 38TH Ave N
Suite C
St Petersburg, FL 33710
Mailing address
4957 38TH Ave North
Suite C
St Petersburg, FL 33710
Phone (727) 521-4402
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0698431 | Medicaid | FL | |
| 62490 | Other | FL | BLS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0044283 | FL | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319328000000",
"number": "1003933193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4957 38TH AVE NORTH",
"address_2": "SUITE C",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33710",
"telephone_number": "727-521-4402",
"fax_number": "727-521-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4957 38TH AVE N",
"address_2": "SUITE C",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33710",
"telephone_number": "727-521-4402",
"fax_number": "727-521-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "STEVEN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2011-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME0044283",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME0044283",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0698431",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLS",
"identifier": "62490",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.