Stephen Lacky Chastain

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME114042 Issued in FL

Legal business name

STEPHEN LACKY CHASTAIN

Practice address

5850 SE Community Dr
Stuart, FL 34997-6420

Phone

(772) 324-3901

Fax

(772) 324-3019

NPI assigned

Nov 19, 2015

Last updated

Nov 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regina Marshall

Title

Billing Manager

Phone

(772) 581-3991

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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.

• Stephen Lackey Chastain, M.D.

  • Cardiovascular Disease Physician
  • Stuart, FL
  • NPI 1194784256
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1386018984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 N US HIGHWAY 1",
            "address_2": "#166",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586363",
            "telephone_number": "772-581-3990",
            "fax_number": "772-581-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 SE COMMUNITY DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349976420",
            "telephone_number": "772-324-3901",
            "fax_number": "772-324-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN LACKY CHASTAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "772-581-3991"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME114042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009031100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "61656",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME114042",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Lynn Stein
• Susan Stein
• Michael Steinagle
• Nicole Steinle
• Christopher Stephanoff, BA
• Roneka Francine Stephens
• Steven Saillant Sterlin
• Nyasia Jaylene Sterling
• Rachelle Breanne Sterling
• Steve Malosky MD LLC

• Cardiovascular Disease Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.