Stephen Hornell, MD, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0024691 Issued in FL

Legal business name

STEPHEN HORNELL, MD, PA

Doing business as

Melbourne Dermatology Center

Practice address

333 E Sheridan Rd
Melbourne, FL 32901-3152

Phone

(321) 724-9650

Fax

(321) 724-2643

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen H Hornell, MD

Title

President

Phone

(321) 724-9650

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Melbourne Dermatology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Virginija Agatha Bernotiene, APRN

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1659018547
  Medicare reassignment Care Compare group NPD
• Kristen Campbell, ARNP

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1639514698
  Medicare reassignment Care Compare group NPD
• Cindy Capestany Bassford, PA-C, PHD

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1770816308
  Medicare reassignment Care Compare group
• Adam Howard Wiener, D.O.

  • Dermatology Physician
  • Melbourne, FL
  • NPI 1215102041
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720157696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013152",
            "telephone_number": "321-724-9650",
            "fax_number": "321-724-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013152",
            "telephone_number": "321-724-9650",
            "fax_number": "321-724-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN HORNELL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-724-9650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0024691",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME85500",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME89667",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "45676",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melbourne Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stellar Transport
• Thomas J Stelter, D.C.
• Katherine Stensland, MS, OTR/L
• Stephen Di Cerbo LMFT PA
• Stephen E Nassar Psy D LCSW P a
• Stephen M Giorgianni DO PLLC
• Stephen T. Ruso, D.D.S., M.S., P.L.L.C.
• Brent Stephens, MD
• Stacyann Stephens
• William Goes Stephens, M.D.

• Dermatology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Dermatology 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.
• 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.