Individual provider Active NPI

Karen Sherrill Stein, MD

  • Ophthalmology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1386693489
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 55866 Issued in FL
Practice address
906B Mar Walt Dr
Fort Walton Beach, FL 32547-6752
Phone
(850) 301-2020
Fax
(850) 301-2023
NPI assigned
May 8, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 55866 FL Primary

Addresses

Primary practice location

906B Mar Walt Dr
Fort Walton Beach, FL 32547-6752

Mailing address

906B Mar Walt Dr
Fort Walton Beach, FL 32547-6752
Phone (850) 301-2020

Other identifiers 1

IdentifierTypeStateIssuer
371458600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 55866FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Eye Institute, LLC Ophthalmology PastSince Nov 12, 2023 Accepting new patients
Eye Physicians and Surgeons of Florida PA PastSince Dec 26, 1999 Accepting new patients
Emerald Coast Eye Institute LLC Ophthalmology PastSince Nov 12, 2023 Accepting new patients
Eye Physicians and Surgeons of Florida PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ec21ei41

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1386693489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906B MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476752",
            "telephone_number": "850-301-2020",
            "fax_number": "850-301-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906B MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476752",
            "telephone_number": "850-301-2020",
            "fax_number": "850-301-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "KAREN",
        "middle_name": "SHERRILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 55866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371458600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.