Organization Active NPI

Steven Kanner DO PLLC

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1164859369
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STEVEN KANNER DO PLLC
Practice address
2051 45TH St Ste 303
West Palm Beach, FL 33407-2031
Phone
(561) 863-8301
Fax
(561) 863-8304
NPI assigned
Oct 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Ms. Adriana Ucros
Title
Billing Manager
Phone
(561) 319-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2051 45TH St Ste 303
West Palm Beach, FL 33407-2031

Mailing address

2051 45TH St Ste 303
West Palm Beach, FL 33407-2031
Phone (561) 863-8301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131106000869 FL Part B Supplier - Clinic/Group Practice 5092940601 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2070565Steven L Kanner DO PLLC2051 45TH St Ste 303, West Palm Beach, FL 33407Certificate of waiverDec 18, 2027

National Provider Directory

National Provider Directory

Locations

2051 45th St
Ste 303
West Palm Beach, FL 33407
Phone (561) 863-8301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1164859369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 45TH ST STE 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072031",
            "telephone_number": "561-863-8301",
            "fax_number": "561-863-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 45TH ST STE 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072031",
            "telephone_number": "561-863-8301",
            "fax_number": "561-863-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN KANNER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "UCROS",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "561-319-4181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.