Active NPI
Steven J. Lancaster, M.D.
- Orthopaedic Surgery Physician
- Jacksonville Beach, FL
National Provider Identifier
1487658910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME42453
- Practice address
- 1577 Roberts Dr
Suite 225 & 226
Jacksonville Beach, FL 32250-3264 - Phone
- (904) 241-1204
- Fax
- (904) 241-7331
- NPI assigned
- Jun 13, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME42453 | FL | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | ME42453 | FL | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | ME42453 | FL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ME42453 | FL |
Addresses
Primary practice location
1577 Roberts Dr
Suite 225 & 226
Jacksonville Beach, FL 32250-3264
Mailing address
1325 San Marco Blvd
Suite 200
Jacksonville, FL 32207-8568
Phone (904) 346-3465
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200004121 | Other | FL | RAILROAD MEDICARE |
| 069500900 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42453 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Jacksonville Beach, FL
- NPI 1851496723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1487658910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 SAN MARCO BLVD",
"address_2": "SUITE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078568",
"telephone_number": "904-346-3465",
"fax_number": "904-858-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1577 ROBERTS DR",
"address_2": "SUITE 225 & 226",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503264",
"telephone_number": "904-241-1204",
"fax_number": "904-241-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "STEVEN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME42453",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "FL",
"license": "ME42453",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "FL",
"license": "ME42453",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "FL",
"license": "ME42453",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200004121",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069500900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.