Individual provider Active NPI

Stuart Z Millstone, M.D.

  • Pulmonary Disease Physician
  • Orange Park, FL
National Provider Identifier
1568481224
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME39842 Issued in FL
Practice address
1893 Kingsley Ave
Ste C
Orange Park, FL 32073-4491
Phone
(904) 276-2044
Fax
(904) 276-2106
NPI assigned
Jul 19, 2006
Last updated
Jul 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME39842 FL Primary

Addresses

Primary practice location

1893 Kingsley Ave
Ste C
Orange Park, FL 32073-4491

Mailing address

1893 Kingsley Ave
Ste C
Orange Park, FL 32073-4491
Phone (904) 276-2044

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
I20100325000735 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6305742669 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc Pulmonary Disease CurrentSince Jan 8, 2018 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jan 8, 2018 Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

425 N Lee St
Ste 101
Jacksonville, FL 32204
Phone (904) 358-9587

425 N Lee St
Ste 202
Jacksonville, FL 32204
Phone (904) 366-3736

159 N 3rd St
Macclenny, FL 32063
Phone (904) 259-7815

1893 Kingsley Ave
Ste C
Orange Park, FL 32073
Phone (904) 375-8850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1568481224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 KINGSLEY AVE",
            "address_2": "STE C",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734491",
            "telephone_number": "904-276-2044",
            "fax_number": "904-276-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 KINGSLEY AVE",
            "address_2": "STE C",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734491",
            "telephone_number": "904-276-2044",
            "fax_number": "904-276-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLSTONE",
        "first_name": "STUART",
        "middle_name": "Z",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME39842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.