Jesse L Stem MD LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

JESSE L STEM MD LLC

Practice address

7800 66TH St N Ste 105
Pinellas Park, FL 33781-2101

Phone

(727) 490-9115

Fax

(855) 592-2984

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Jesse L Stem, MDNPI 1619902707

Title

Owner

Phone

(727) 490-9115

Specialties & licenses 2

Addresses

Other names 1

• Revelation Spine Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Jesse L Stem, MD

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
  • NPI 1619902707
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1720842503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 66TH ST N STE 105",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812101",
            "telephone_number": "540-525-9759",
            "fax_number": "855-592-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 66TH ST N STE 105",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812101",
            "telephone_number": "727-490-9115",
            "fax_number": "855-592-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE L STEM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "STEM",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-490-9115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revelation Spine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revelation Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janine Hanson Dba Janine Hanson RPT
• Lindsay Marie Jantschek
• Jessica Annette Jeffery
• Susan Marie Jeffries, A.R.N.P. CNM
• Jennifer L Manning OD PA
• Tony John
• Valerie R. Johnson-Cardoso, LMHC, CAP
• Juantera Johnson
• Kathleen Johnson
• Melina Johnson, M.ED.

• Orthopaedic Surgery Physician in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.