Steven Knezevich, M.D., P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME60554 Issued in FL

Legal business name

STEVEN KNEZEVICH, M.D., P.A.

Doing business as

Northside Orthopaedics

Practice address

3820 Northdale Blvd.,
Suite 105a
Tampa, FL 33624-1834

Phone

(813) 960-1655

Fax

(813) 960-3681

NPI assigned

Dec 23, 2010

Last updated

Jan 12, 2012By 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

Stephanie Portales

Title

Office Manager

Phone

(813) 960-1655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northside Orthopaedics Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Steven Knezevich, M.D.

  • Orthopaedic Surgery Physician
  • Tampa, FL
  • NPI 1457356701
  Medicare reassignment NPD

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1417251034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD.,",
            "address_2": "SUITE 105A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241834",
            "telephone_number": "813-960-1655",
            "fax_number": "813-960-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD.,",
            "address_2": "SUITE 105A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241834",
            "telephone_number": "813-960-1655",
            "fax_number": "813-960-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN KNEZEVICH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "PORTALES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-960-1655"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME60554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056274200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Gray Sterrett, M.D.
• Stetho MD LLC
• Abigail Stevanus
• Steven C Walker
• Steven D Gitomer MD PA
• Steven L. Maskin, M.D., P.a.
• Steven V. Dau, D.M.D., M.S., P.a. (Cross Creek Orthodontics)
• Alma Stevens, RN
• Anna Stevens, PA-C
• April Christine Stevens

• Orthopaedic Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.