Eustus Stephen Nelson, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME45558 Issued in FL

Practice address

4215 Sun N Lake Blvd
Sebring, FL 33872-2158

Phone

(863) 382-2248

Fax

(863) 382-1242

NPI assigned

Jul 29, 2005

Last updated

Aug 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Surgical Center at Sun N Lake L L C

  dba Surgical Center at Sun n Lake

  • Ambulatory Surgical Clinic/Center
  • Sebring, FL
  • NPI 1063675734
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1417957507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722158",
            "telephone_number": "863-382-2248",
            "fax_number": "863-382-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722158",
            "telephone_number": "863-382-2248",
            "fax_number": "863-382-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "EUSTUS",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME45558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008356800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Navarrete, PMD
• Jessica Zulney Navarro Motta
• Donna Nelson-Watkis
• Audwin Bruce Nelson, MD
• Dedrie-Ann Nelson, PHARM.D, RPH
• Sophia Nerdon
• Neurology Associates of Sebring, PA
• Nevaeh's Helping Hands LLC
• Isaac Salim Neverson
• New Age Laser Inc

• Urology Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.