James B Destephens MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0045204 Issued in FL

Legal business name

JAMES B DESTEPHENS MD PA

Practice address

2341 NW 41St St Ste B
Gainesville, FL 32606-7442

Phone

(352) 371-1804

Fax

(352) 371-2033

NPI assigned

Feb 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Bruce Destephens, MDNPI 1982684460

Title

MD

Phone

(352) 371-1804

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Bruce Destephens, M.D.

  • Cardiovascular Disease Physician
  • Gainesville, FL
  • NPI 1982684460
  Medicare reassignment NPD Authorized official
• Dana Yvonne Preston, PHD, APRN, - C.S

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1861699225
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639213101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 NW 41ST ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067442",
            "telephone_number": "352-371-1804",
            "fax_number": "352-371-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 NW 41ST ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067442",
            "telephone_number": "352-371-1804",
            "fax_number": "352-371-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B DESTEPHENS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESTEPHENS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "352-371-1804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0045204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "175709",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ATTACHED TO SS NO",
            "identifier": "1982684460",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hameed Jamal, DMD
• Maria Jamaleddine
• Faread Jamalifard, MD
• Breana Jamerson
• Kentwana Jamerson
• Ianna Krystal Ann James Cason, APRN
• James J Nelson MD PA
• Belita Theodra James
• Christopher James
• Glory D James, RRT

• Cardiovascular Disease Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.