Individual provider Active NPI

Stephen Matthew Newsom, DO

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1316406135
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS18155 Issued in FL
Practice address
6500 38TH Ave N
St Petersburg, FL 33710-1629
Phone
(727) 384-7727
NPI assigned
Mar 19, 2019
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS18155 FL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS18155 FL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X OS18155 FL

Addresses

Primary practice location

6500 38TH Ave N
St Petersburg, FL 33710-1629

Mailing address

6500 38TH Ave N
St Petersburg, FL 33710-1629

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20211209002281 FL Practitioner - Family Practice 6002206877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital Family Practice LLCGroup PAC ID 2264595941, 44 clinicians
Gulfside Palliative Care, LLCGroup PAC ID 3678611837, 13 clinicians

Practice addresses (Care Compare)

14100 Fivay Rd
Suite 340
Hudson, FL 34667-7181
Phone (727) 819-9107

2061 Collier Pkwy
Land O Lakes, FL 34639-5202

6117 Trouble Creek Rd
New Port Richey, FL 34653-5240
Phone (813) 501-8201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS18155FLMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfside Palliative Care, LLC CurrentSince Dec 26, 2023 Accepting new patients
Community Hospital Family Practice LLC Geriatric Medicine CurrentSince Oct 1, 2025 Accepting new patients
Gulfside Hospice, Inc. Family Medicine PastSince Dec 26, 2023 Accepting new patients

Locations

14100 Fivay Rd
Ste 340
Hudson, FL 34667
Phone (727) 819-9107

7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322

2061 Collier Pkwy
Land O Lakes, FL 34639
Phone (727) 845-5707

6117 Trouble Creek Rd
New Prt Rchy, FL 34653
Phone (727) 845-5707

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1316406135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101629",
            "telephone_number": "727-384-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "STEPHEN",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18155",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS18155",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "OS18155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.