Organization Active NPI

Stephen Pro Service

  • Pulmonary Disease Physician
  • St Petersburg, FL
National Provider Identifier
1386377380
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
STEPHEN PRO SERVICE
Practice address
5800 49TH St N Ste 206
St Petersburg, FL 33709-2100
Phone
(727) 892-2928
NPI assigned
Jul 6, 2022
Last updated
Jul 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Stephen Maharaj
Title
Owner
Phone
(727) 892-2928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

5800 49TH St N Ste 206
St Petersburg, FL 33709-2100

Mailing address

5800 49TH St N Ste 208
St Petersburg, FL 33709-2100
Phone (727) 892-2928

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1386377380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE 208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092100",
            "telephone_number": "727-892-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE 206",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092100",
            "telephone_number": "727-892-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN PRO SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "MAHARAJ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-892-2928"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.