Stephen Vincent Warden, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-00899 Issued in NC

Practice address

861 SW 78TH Ave
#200B
Plantation, FL 33324-3273

Phone

(877) 693-5700

Fax

(954) 625-6034

NPI assigned

Aug 18, 2009

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment
• Gilford Sound Emergency Physicians LLC

  • Emergency Medicine Physician
  • Vero Beach, FL
  • NPI 1760996300
  Medicare reassignment
• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790
  NPD
• FL-I Medical Services, LLC

  • Emergency Medicine Physician
  • Gainesville, FL
  • NPI 1871155887

  Physician Assistant

  NPD
• Albemarle Eye Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Washington, NC
  • NPI 1336432301
  NPD (past)
• Beaufort County Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Washington, NC
  • NPI 1134378573

  Physician Assistant

  NPD (past)
• North Carolina Em I Medical Services P C

  • Physician Assistant
  • Elizabeth City, NC
  • NPI 1255581443
  NPD (past)

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1396977708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 SW 78TH AVE",
            "address_2": "#200B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243273",
            "telephone_number": "877-693-5700",
            "fax_number": "954-625-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 SW 78TH AVE",
            "address_2": "#200B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243273",
            "telephone_number": "877-693-5700",
            "fax_number": "954-625-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "STEPHEN",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Haake Walter, APRN
• Tanya Walters
• Andre Nadim Ward, MD
• Logan N Ward, CRNA
• Samuel Tristan Ward, DO
• Dana Warman
• Valerie L. Washington, RN
• Daryl Keith Wasserman, APRN
• Wastetrans LLC
• Waterman Dermatology, PA

• Physician Assistant in Plantation, FL
• Providers in Plantation, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.