Mary Jaycox Stevens, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1980 Issued in FL

Practice address

6350 76TH Ave North
Clinic Suite
Pinellas Park, FL 33761-3152

Phone

(727) 547-7780

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD (past)
• Florida Department of Health

  dba Pinellas County Health Department

  • Public Health or Welfare Agency
  • St Petersburg, FL
  • NPI 1487619714
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093854895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 SHORE BLVD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346775615",
            "telephone_number": "813-334-8543",
            "fax_number": "813-891-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 76TH AVE NORTH",
            "address_2": "CLINIC SUITE",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337613152",
            "telephone_number": "727-547-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARY",
        "middle_name": "JAYCOX",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA1980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany C Stefan, BA
• Julia Stepelton, LMHC
• Cindy Lee Scullion Sterling
• Stevenebyrnechiropracticpa (Byrne Chiropractic)
• Lenae Stevens
• Debra Lynn Stibick, PH.D.
• STJ Home Care Inc. (Assisting Hands Home Care of St Pete)
• Ashley Stone, M.A.
• Stephanie Renae Stratton, DNP, FNP-C
• Emily Strickland

• Medical Physician Assistant in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.