Stephen L Mikell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD.023781 Issued in LA

Practice address

5501 Marvin Shields Blvd
Gulfport, MS 39501-9007

Phone

(228) 871-4033

Fax

(228) 871-3344

NPI assigned

May 16, 2006

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

University of South Florida College of Medicine, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Pawnee Indian Health Center

  • Clinic/Center
  • Pawnee, OK
  • NPI 1629174081

  TX

  Medicare reassignment NPD
• Pawnee IHS Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Pawnee, OK
  • NPI 1124178017
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1306898614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S AMERICA ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333529",
            "telephone_number": "985-705-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 MARVIN SHIELDS BLVD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395019007",
            "telephone_number": "228-871-4033",
            "fax_number": "228-871-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELL",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.023781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C1488526",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael O. Williams DDS.PA (Gulf Coast Center For Advanced Cosmetic Orthodonics)
• Michael O. Williams, D.D.S.,P.a.
• Michael Payment MD Cardiology PA
• Michael R. Lewis, MD, PA
• Jonathan A Mihnovets, D.O.
• Amanda Miller, FNP
• Chelsea Miller, RBI
• Debbie Ann Miller, RDH
• Laura Shelby Miller, ATC
• Patricia L Miller, OT

• Pediatrics Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.