Stephen Jo Calvin, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS0004500 Issued in FL

Practice address

1292 East Bluebird Court
Hernando, FL 34442

Phone

(352) 201-2758

NPI assigned

Feb 2, 2006

Last updated

Jun 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Florida Department of Health

  dba Columbia Co. Public Health Unit

  • Public Health or Welfare Agency
  • Lake City, FL
  • NPI 1154394922
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1710959002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 EAST BLUEBIRD COURT",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "34442",
            "telephone_number": "352-201-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1292 EAST BLUEBIRD COURT",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "34442",
            "telephone_number": "352-201-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVIN",
        "first_name": "STEPHEN",
        "middle_name": "JO",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "OS4500",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS0004500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069172100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooksville Hma Physician Management LLC
• Brooksville Hma Physician Management LLC
• Brooksville Hma Physician Management LLC
• Darian Dolores Diane Brothers
• Tracy Rene Byers
• Donna Jeanne Castelone
• Sung Sook Cha, M.D.
• Claudia L Chavez, O.D.
• Citrus Family Dentistry, PA
• Citrus Hills Medical Center (Citrus Hills Medical Center, Inc)

• General Practice Physician in Hernando, FL
• Providers in Hernando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.