Stephen Edward Hefler, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME133474 Issued in FL

Practice address

487 Padova Way
North Venice, FL 34275-6696

Phone

(609) 577-3769

NPI assigned

Sep 27, 2006

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Johnson Medical Center of Venice, Inc.

  • Family Medicine Physician
  • Venice, FL
  • NPI 1578622981

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215028196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 PADOVA WAY",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342756696",
            "telephone_number": "609-577-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 PADOVA WAY",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342756696",
            "telephone_number": "609-577-3769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Princeton Heights Town Rd",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pinceton Junction",
            "state": "NJ",
            "postal_code": "08550",
            "country_code": "US",
            "telephone_number": "609-799-4700",
            "fax_number": "609-799-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEFLER",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME133474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evgeny Gorobtsov
• Jonathan Greene, PHARMD
• Aleksandr Vladimir Grinchuk, PHARMD
• Gulf Coast Hma Physician Management LLC
• Nicholas Hammond, PHARMD
• Melissa Marie Hirsh I, ANP-BC
• Jessica Holle
• Home Sweet Home Physical Therapy
• Noshaba Khaliq, PA
• Susan Kohnstam, L.C.S.W.

• Pediatrics Physician in North Venice, FL
• Providers in North Venice, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.