Individual provider Active NPI

Stephen Mark Lovell, PA

  • Physician Assistant
  • Cape Coral, FL
National Provider Identifier
1427060375
Registry record updated Oct 21, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Mar 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104091 Issued in FL
Practice address
4527 Coronado Pkwy
Cape Coral, FL 33904-7332
Phone
(239) 994-7255
Fax
(239) 541-0007
NPI assigned
Aug 12, 2006
Last updated
Oct 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5345 FL
Medical Physician Assistant 363AM0700X 9104091 FL
Physician Assistant 363A00000X PA9104091 FL Primary

Addresses

Primary practice location

4527 Coronado Pkwy
Cape Coral, FL 33904-7332

Mailing address

4527 Coronado Pkwy
Cape Coral, FL 33904-7332
Phone (239) 994-7255

Other identifiers 2

IdentifierTypeStateIssuer
292929500MedicaidFL
CH5345OtherFLCHIROPRACTIC PHYSICIAN

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
CH5345FLMDChiropractor
PA9104091FLMDPhysician Assistant
9104091FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Gulf Coast Emergency Physicians PA Past Accepting new patients
All Star Medical Group Corp Physician Assistant PastSince Jun 14, 2007 Accepting new patients

Organizations & group practices 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1427060375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 CORONADO PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047332",
            "telephone_number": "239-994-7255",
            "fax_number": "239-541-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 CORONADO PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047332",
            "telephone_number": "239-994-7255",
            "fax_number": "239-541-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "STEPHEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5345",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9104091",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292929500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC PHYSICIAN",
            "identifier": "CH5345",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.