Stephen Pappachen, M.D.

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

ME88723 Issued in FL

Practice address

1241 Vista Hills Dr
Lakeland, FL 33813-5642

Phone

(863) 255-6092

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Wound Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1508054271
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1063418580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 VISTA HILLS DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338135642",
            "telephone_number": "863-255-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 VISTA HILLS DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338135642",
            "telephone_number": "863-255-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPACHEN",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME88723",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME88723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "svpappachen@gmail.com",
            "affiliation": "N",
            "address_1": "1241 Vista Hills Dr",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338135642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nikul R Panchal
• Daniel Laurence Panebianco, MD
• Karla Lynn Panier, RBT
• Michaela De-Ann Pansey, RBT
• Stacy Pape
• Gustavo Parajon, DDS
• Andrew Parana, PT DPT
• Joseph Steven Paredes, DO, MPH
• Brenda Parejas, CMF
• Rebecca G Parish, RN

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.