Individual provider Active NPI

Stephen James Quaning, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Ormond Beach, FL
National Provider Identifier
1508939760
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME81579 Issued in FL
Practice address
500 Memorial Cir Ste C
Ormond Beach, FL 32174-5054
Phone
(386) 615-3500
Fax
(386) 615-3505
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME81579 FL Primary

Addresses

Primary practice location

500 Memorial Cir Ste C
Ormond Beach, FL 32174-5054

Mailing address

6150 Metrowest Blvd Ste 307
Orlando, FL 32835-3291
Phone (407) 294-1014

Other practice location 1

4711 Curry Ford Rd Ste C
Orlando, FL 32812-2704
Phone (407) 259-4646

Other practice location 2

1852 Ridgewood Ave
Holly Hill, FL 32117-1738
Phone (386) 675-4242

Other practice location 3

1106 Lucerne Ter
Orlando, FL 32806-1017
Phone (407) 316-8898

Other practice location 4

6150 Metrowest Blvd Ste 307
Orlando, FL 32835-3291
Phone (407) 294-1014

Other practice location 5

10025 E Colonial Dr
Orlando, FL 32817-4329
Phone (407) 382-4218

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122001235 FL Practitioner - Internal Medicine 2961467691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Health IncGroup PAC ID 2365406840, 11 clinicians

Practice addresses (Care Compare)

6150 Metrowest Blvd
Suite 307
Orlando, FL 32835-3291
Phone (407) 294-1014

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME81579FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Family Practice Inc CurrentSince Apr 28, 2024 Accepting new patients

Locations

500 Memorial Cir
Ste C
Ormond Beach, FL 32174
Phone (386) 615-3500

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1508939760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 METROWEST BLVD STE 307",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353291",
            "telephone_number": "407-294-1014",
            "fax_number": "407-294-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEMORIAL CIR STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745054",
            "telephone_number": "386-615-3500",
            "fax_number": "386-615-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4711 Curry Ford Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328122704",
            "country_code": "US",
            "telephone_number": "407-259-4646",
            "fax_number": "407-259-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1852 Ridgewood Ave",
            "address_purpose": "LOCATION",
            "city": "Holly Hill",
            "state": "FL",
            "postal_code": "321171738",
            "country_code": "US",
            "telephone_number": "386-675-4242",
            "fax_number": "386-675-4243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Lucerne Ter",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061017",
            "country_code": "US",
            "telephone_number": "407-316-8898",
            "fax_number": "407-540-0773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 Metrowest Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353291",
            "country_code": "US",
            "telephone_number": "407-294-1014",
            "fax_number": "407-294-7732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10025 E Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328174329",
            "country_code": "US",
            "telephone_number": "407-382-4218",
            "fax_number": "407-380-3228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUANING",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME81579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.