Stephen Michael Staudt Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9111157 Issued in FL

Practice address

180 John F Kennedy Dr
Atlantis, FL 33462-6641

Phone

(561) 967-6500

NPI assigned

Oct 25, 2018

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialtycare Surgical Assist, LLCGroup PAC ID 3274446497, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Specialtycare Surgical Assist, LLC

  • Surgical Physician Assistant
  • Boynton Beach, FL
  • NPI 1740395748
  Medicare reassignment Care Compare group
• Orthopaedic Care Specialist PL

  • Specialist
  • North Palm Beach, FL
  • NPI 1780646950
  Medicare reassignment
• Orthopedic Center of Palm Beach County, LLC

  dba Sports and Orthopedic Center

  • Specialist
  • Atlantis, FL
  • NPI 1114079738
  Medicare reassignment
• Orthopedic Center of Palm Beach County

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
  • NPI 1891683801
  NPD
• Orthopedic Center of Palm Beach County, LLC

  • Orthopaedic Surgery Physician
  • Atlantis, FL
  • NPI 1164963252
  NPD

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

• Delray Medical Center, Inc.

  dba Delray Medical Center

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation
• JFK Medical Center Limited Partnership

  dba HCA Florida JFK Hospital

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1609343821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10132 CAOBA ST",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105123",
            "telephone_number": "561-628-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JOHN F KENNEDY DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10275 Hagen Ranch Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373784",
            "country_code": "US",
            "telephone_number": "561-967-6500",
            "fax_number": "561-433-4175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUDT",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "PA9111157",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14366545",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra J Spender, O.D.
• Jennifer Spiegel, MD
• Eden St Julien
• Carmi Y Stadlan, MD
• Christian L Stanton, MD
• Azin Steadman, DO
• Seth Steinberg, MD
• Stephen Edward Steinberg, MD
• Brooke Sternberg, CD(DONA),CRMT, CTACC
• Heather N Stokes, CRNA

• Physician Assistant in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.

Verify at the official NPI Registry.