Active NPI
David Wayne Stephenson, MD
- Internal Medicine Physician
- Wildwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME106525
- Practice address
- 9202 NW 26TH St
Wildwood, FL 34785-7413 - Phone
- (352) 812-0579
- Fax
- (352) 571-4349
- NPI assigned
- Feb 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME106525 | FL | Primary |
Addresses
Primary practice location
9202 NW 26TH St
Wildwood, FL 34785-7413
Mailing address
9202 NW 26TH St
Wildwood, FL 34785-7413
Phone (352) 812-0579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14F4L | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5050 County Rd
Suite 472
Oxford, FL 34484-3750
Phone (352) 245-6922
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Inpatient Care Specialists LLC | Current | Accepting new patients | |
| Ocala Hospitalist Group P a | Internal Medicine | Past | Accepting new patients |
Locations
17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
5050 County Road 472
Oxford, FL 34484
Phone (352) 245-6922
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Wildwood, FL
- NPI 1043560832
-
- Internal Medicine Physician
- Oxford, FL
- NPI 1346753225
-
- Internal Medicine Physician
- Jacksonville Beach, FL
- NPI 1346287182
-
- Hospitalist Physician
- Lake Mary, FL
- NPI 1679817134
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1427631696
-
- Internal Medicine Physician
- Ocala, FL
- NPI 1750409736
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1093983157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9202 NW 26TH ST",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347857413",
"telephone_number": "352-812-0579",
"fax_number": "352-571-4349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9202 NW 26TH ST",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347857413",
"telephone_number": "352-812-0579",
"fax_number": "352-571-4349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "DAVID",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-12",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME106525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14F4L",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wildwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.