Stephanie M Chu, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9113356 Issued in FL

Practice address

3190 N McMullen Booth Rd Ste 202
Clearwater, FL 33761-2013

Phone

(813) 855-2900

NPI assigned

Apr 19, 2019

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Ms & Neuromuscular Center of Excellence LLC

  • Neurology Physician
  • Clearwater, FL
  • NPI 1821480419
  Medicare reassignment

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1376106898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 N MCMULLEN BOOTH RD STE 202",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 N MCMULLEN BOOTH RD STE 202",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612013",
            "telephone_number": "813-855-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Manor of Clearwater
• Christian Manor of Clearwater Inc
• Christopher E. Pettet, D.C. P.a. (Sunset Chiropractic Center)
• Christopher L Ross DMD Ms PA
• Chrysalis Counseling Florida LLC
• Dawn Marie Chui, APRN, PMHNP-BC
• Church of Scientology Flag Service Organization, Inc.
• Churney Dental Services, Inc.
• Robert B. Churney, D.M.D.
• Christian Cignoni, M.D.

• Medical Physician Assistant in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.