NPIMap

Organization Active NPI

One Stop Medical Center

  • Clinic/Center
  • Casselberry, FL
National Provider Identifier
1336335066
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
44484 Issued in MN
Legal business name
ONE STOP MEDICAL CENTER
Practice address
515 State Road 436 Ste 1010
Casselberry, FL 32707-5341
Phone
(612) 205-3278
NPI assigned
Sep 17, 2007
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dr. Steven Shu, MDNPI 1548241706
Title
President
Phone
(612) 205-3278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Clinic/Center 261Q00000X 44484 MN Primary

Addresses

Primary practice location

515 State Road 436 Ste 1010
Casselberry, FL 32707-5341

Mailing address

6545 France Ave S Ste 480
Edina, MN 55435-2138
Phone (612) 205-3278

Other practice location 1

11855 Ulysses St NE Ste 220
Blaine, MN 55434-4181
Phone (612) 205-3278

National Provider Directory

National Provider Directory

Locations

5502 W Broadway Ave
Crystal, MN 55428
Phone (763) 287-6500

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1336335066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S STE 480",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352138",
            "telephone_number": "612-205-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STATE ROAD 436 STE 1010",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075341",
            "telephone_number": "612-205-3278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11855 Ulysses St NE Ste 220",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554344181",
            "country_code": "US",
            "telephone_number": "612-205-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE STOP MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SHU",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-205-3278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "44484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.