Individual provider Active NPI

Shawn Michael Stephens, MD

  • Obstetrics & Gynecology Physician
  • Sarasota, FL
National Provider Identifier
1629091913
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME109905 Issued in FL
Practice address
2401 University Pkwy
Suite 201
Sarasota, FL 34243-2893
Phone
(941) 359-8300
Fax
(941) 359-8310
NPI assigned
Jul 26, 2006
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 240496 NY
Obstetrics & Gynecology Physician 207V00000X ME109905 FL Primary

Addresses

Primary practice location

2401 University Pkwy
Suite 201
Sarasota, FL 34243-2893

Mailing address

2401 University Pkwy
Suite 201
Sarasota, FL 34243-2893
Phone (941) 359-8300

Other identifiers 2

IdentifierTypeStateIssuer
006122400MedicaidFL
02806504MedicaidNY

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
I20120829000310 FL Practitioner - Obstetrics/Gynecology 0547353120 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109905FLMDObstetrics & Gynecology Physician
240496NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Feb 4, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Feb 4, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Mar 1, 2020 Accepting new patients
Manasota OBGYN Associates LLC Obstetrics & Gynecology CurrentSince Feb 19, 2018 Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 418-9122

2401 University Pkwy
Ste 201
Sarasota, FL 34243
Phone (941) 359-8300

2439 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 343-0609

1838 Hillview St
Sarasota, FL 34239
Phone (941) 359-8300

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: shawn.stephens@toplinemd.eclinicaldirectplus.com

Organizations & group practices 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1629091913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY",
            "address_2": "SUITE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-359-8300",
            "fax_number": "941-359-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY",
            "address_2": "SUITE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-359-8300",
            "fax_number": "941-359-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "240496",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME109905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006122400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02806504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.