Active NPI
James H. Stevens Jr., MD
- Radiation Oncology Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME0068163
- Practice address
- 1026 Mar Walt Dr
Ft Walton Beach, FL 32547-6645 - Phone
- (850) 863-5294
- Fax
- (850) 864-1648
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME0068163 | FL | Primary |
Addresses
Primary practice location
1026 Mar Walt Dr
Ft Walton Beach, FL 32547-6645
Mailing address
2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377888600 | Medicaid | FL | |
| 1179761 | Other | FL | WELLCARE |
| 009913035 | Other | AL | AL. MCAID PSO PROVIDER # |
| 118454 (CRO) | Medicaid | AL | |
| 16-01523 | Other | FL | UTD. HLTHCR. PROVIDER # |
| 009913045 | Other | AL | AL. MCAID FWB PROVIDER # |
| 212959 | Other | FL | AVMED |
| 009948615 | Other | AL | AL. MCAID SRB PROVIDER # |
| 118469 (DSF) | Medicaid | AL | |
| 8870766-006 | Other | FL | CIGNA PROVIDER NUMBER |
| 009913055 | Other | AL | AL. MCAID CRO PROV. # |
| 118458 (FWB) | Medicaid | AL | |
| 5120028 | Other | FL | AETNA PROVIDER NUMBER |
| 118471 (SRB) | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1026 Mar Walt Dr
Fort Walton Beach, FL 32547-6645
Phone (850) 863-5294
Hospital & facility affiliations
- Centerwell Home Health
- Sacred Heart Hospital on the Emerald Coast
- HCA Florida Fort Walton-Destin Hospital
- North Okaloosa Medical Center
- HCA Florida Twin Cities Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0068163 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Radiation Oncology | Current | Accepting new patients |
| Oncology & Hematology Associates of West Broward, P.a. | Past | Accepting new patients | |
| South Florida Oncology and Hematology Consultants LLC | Past | Accepting new patients |
Locations
425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991
1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202
601 Redstone Ave W
Crestview, FL 32536
Phone (239) 432-8500
2160 Colonial Blvd
Fort Myers, FL 33907
2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212
1026 Mar Walt Dr
Fort Walton Beach, FL 32547
Phone (850) 863-5294
3031 Carters Mill Rd
Marianna, FL 32446
Phone (850) 526-2101
1670 N University Dr
Ste A
Pompano Beach, FL 33071
Phone (954) 227-6747
6879 US Highway 98 W
Santa Rosa Beach, FL 32459
Phone (850) 502-1363
3210 Fruitville Rd
Sarasota, FL 34237
Phone (941) 364-8887
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
-
dba David Schwartzwald, MD: Urology Care Specialists
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
-
- Specialist
- Coral Springs, FL
- NPI 1962430561
-
- Hematology & Oncology Physician
- Plantation, FL
- NPI 1700891256
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Shalimar, FL
- NPI 1518991215
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
dba North Okaloosa Medical Center
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
dba HCA Florida Fort Walton-Destin Hospital
- General Acute Care Hospital
- Fort Walton Beach, FL
- NPI 1639128820
-
dba HCA Florida Twin Cities Hospital
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1467447565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 MAR WALT DR",
"city": "FT WALTON BEACH",
"state": "FL",
"postal_code": "325476645",
"telephone_number": "850-863-5294",
"fax_number": "850-864-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JAMES",
"middle_name": "H.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME0068163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377888600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1179761",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL. MCAID PSO PROVIDER #",
"identifier": "009913035",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118454 (CRO)",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTD. HLTHCR. PROVIDER #",
"identifier": "16-01523",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL. MCAID FWB PROVIDER #",
"identifier": "009913045",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "212959",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL. MCAID SRB PROVIDER #",
"identifier": "009948615",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118469 (DSF)",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "8870766-006",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL. MCAID CRO PROV. #",
"identifier": "009913055",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118458 (FWB)",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "5120028",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118471 (SRB)",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.