Stephen a Updegraff MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

1171 Issued in FL

Legal business name

STEPHEN A UPDEGRAFF MD PA

Practice address

1601 38TH Ave N
St Petersburg, FL 33713-1926

Phone

(727) 822-4287

Fax

(727) 822-1086

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Updegraff, MD

Title

Medical Director

Phone

(727) 822-4287

Specialties & licenses 2

Addresses

Other names 1

• UPDEGRAFF VISION LASER AND SURGERY CENTER Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1124020375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337131926",
            "telephone_number": "727-822-4287",
            "fax_number": "727-822-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337131926",
            "telephone_number": "727-822-4287",
            "fax_number": "727-822-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A UPDEGRAFF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "UPDEGRAFF",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-822-4287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "1171",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "ME67224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPDEGRAFF VISION LASER AND SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steller Life Care
• Stemedix, Inc
• Lea Diana Stemplewski, OTR/L
• Thomas J Stengel, M.D.
• Linda Jean Stephan, CNM
• Stephen C. Howard, D.C., P.a.
• Stephen G. Nelson, M.D., PA
• Stephen L. Moss DPM PA
• Stephen Pro Service
• Stephen Pro Service Inc

• Ophthalmology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.