Stephen Jonas Lagergren, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0037125 Issued in FL

Practice address

1713 Garden St
Titusville, FL 32796-5002

Phone

(321) 269-1621

NPI assigned

Jul 28, 2006

Last updated

Mar 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Healthnet of Central Florida PA

  • Internal Medicine Physician
  • Titusville, FL
  • NPI 1285796052
  Authorized official Same address or phone
• Home Health Area 7, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Altamonte Springs, FL
  • NPI 1588309603
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1205840758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327813087",
            "telephone_number": "321-264-1000",
            "fax_number": "321-264-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327965002",
            "telephone_number": "321-269-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGERGREN",
        "first_name": "STEPHEN",
        "middle_name": "JONAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0037125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22944",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillian Katherine Krick
• Joanielee Kriz, D.C.
• Richard Krubel, MD
• Michael Kutryb, M.D.
• Miranda Jade Lacey, RBT
• Lagoon Dental PLLC (Lagoon Dental)
• Michael Laguerre
• Paula Lakeman, D.C
• Christina Langille, ARNP-C
• Kayla Lanoue, APRN

• Internal Medicine Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.