Stephen Albert Knych

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME90281 Issued in FL

Practice address

822 Spring Park Loop
Celebration, FL 34747-4831

Phone

(407) 566-8808

Fax

(407) 566-8554

NPI assigned

Sep 8, 2005

Last updated

Aug 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sknych128911@adventhealth.direct-ci.com

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

• Southeast Volusia Medical Services Inc

  dba Bert Fish Medical Center

  • Surgery Physician
  • New Smyrna Beach, FL
  • NPI 1104868876
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1194719823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 SPRING PARK LOOP",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474831",
            "telephone_number": "407-566-8808",
            "fax_number": "407-566-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 SPRING PARK LOOP",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474831",
            "telephone_number": "407-566-8808",
            "fax_number": "407-566-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNYCH",
        "first_name": "STEPHEN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME90281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Kim, PHARM.D.
• Kindbody of FL Medical Practice PA
• Kimberly Kirschner, LDN
• Danielle Kleinberg
• Alexander Matthieus Knops, MD
• Victoria E Kotch, RN
• Angela Krahn
• Jeffery John Kuhn, MD
• Amelia Labonte, PA-C
• David Adam Lalli, D.O.

• Specialist in Celebration, FL
• Providers in Celebration, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.