Organization Active NPI

Stephen W Duncan MD PL

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1427232347
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0083619 Issued in FL
Legal business name
STEPHEN W DUNCAN MD PL
Practice address
1845 Jaclif CT
Tallahassee, FL 32308-4430
Phone
(850) 325-1212
Fax
(850) 325-1375
NPI assigned
Dec 27, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Dr. Stephen Wiley Duncan, MDNPI 1487607586
Title
Sole Member
Phone
(850) 325-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0083619 FL Primary

Addresses

Primary practice location

1845 Jaclif CT
Tallahassee, FL 32308-4430

Mailing address

PO Box 14225
Tallahassee, FL 32317-4225
Phone (850) 325-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080123000379 FL Part B Supplier - Clinic/Group Practice 4082796594 Receives reassigned benefits from 1 practitioner
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

2056 Centre Pointe Ln
Tallahassee, FL 32308
Phone (850) 668-6888

2412 W Plaza Dr
Tallahassee, FL 32308
Phone (850) 325-1212

3227 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-1212

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1427232347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14225",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323174225",
            "telephone_number": "850-325-1212",
            "fax_number": "850-325-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 JACLIF CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084430",
            "telephone_number": "850-325-1212",
            "fax_number": "850-325-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W DUNCAN MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WILEY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "850-325-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "0083619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.