Michelle H Stevens MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MICHELLE H STEVENS MD PA

Practice address

4100 S Ferdon Blvd
Ste C5
Crestview, FL 32536-5252

Phone

(850) 902-1282

Fax

(850) 682-6937

NPI assigned

Jan 16, 2008

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle H Stevens, MD

Title

Owner

Phone

(850) 902-1282

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1477739829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S FERDON BLVD",
            "address_2": "STE C5",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365252",
            "telephone_number": "850-902-1282",
            "fax_number": "850-682-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S FERDON BLVD",
            "address_2": "STE C5",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365252",
            "telephone_number": "850-902-1282",
            "fax_number": "850-682-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE H STEVENS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-902-1282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03170",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicente Arturo Mendez, MD
• Thalia Fey Mendoza
• Monique Merritt
• Michael G Foley MD PA
• Michael Jon Rinaldi DO PA
• Joseph O.E. Miciano, LMT
• Katelyn Rose Millender, RBT
• Audrey Milton Miller, BCBA
• Cassandra L. Miller, CAS
• Courtney Celeste Miller, OTR/L

• Family Medicine Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.