Active NPI
Stephen Mark Lovell, PA
- Physician Assistant
- Cape Coral, FL
National Provider Identifier
1427060375
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.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9104091
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292929500 | Medicaid | FL | |
| CH5345 | Other | FL | CHIROPRACTIC 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.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH5345 | FL | MD | Chiropractor |
| PA9104091 | FL | MD | Physician Assistant |
| 9104091 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Gulf Coast Emergency Physicians PA | Past | Accepting new patients | |
| All Star Medical Group Corp | Physician Assistant | Past | 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.
-
- Physician Assistant
- Cape Coral, FL
- NPI 1902028764
-
- Emergency Medicine Physician
- Fort Myers, FL
- NPI 1124013149
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
- Love Alf LLC II (Love Assisted Living Facility II)
- Love Need No Words LLC
- Abagail May Love
- Love's Family Home Care, LLC (Preferred Care at Home of Cape Coral and Fort Myers)
- Love's Power Care Corp
- Ivelisse Lovett
- Lovin Care Home Health Inc
- Loving Heart Adult Day Care Inc
- Loving Heart Adult Day Care Inc
- Lower Extremity Specialists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.