Steven D Christesen MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME66791 Issued in FL

Legal business name

STEVEN D CHRISTESEN MD PA

Practice address

3440 Tamiami TRL
Ste 2
Port Charlotte, FL 33952-8134

Phone

(941) 624-3600

Fax

(941) 624-0700

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven D Christesen, MD PA

Title

Physician

Phone

(941) 624-3600

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Pamela Debus, ARNP

  • Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1487745246
  NPD (past)

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1851584973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495839",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339495839",
            "telephone_number": "941-624-3600",
            "fax_number": "941-624-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 TAMIAMI TRL",
            "address_2": "STE 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528134",
            "telephone_number": "941-624-3600",
            "fax_number": "941-624-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D CHRISTESEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTESEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-624-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME66791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376393500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "25941",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen M. Ross
• Sergio Stephens
• Stepping Stone Kids Therapy LLC
• Edna Stercula, CRNA
• Lisa Stern
• Steven Jakubaitis DMD PA
• Carol W Stevens, DDS
• Deanna Stevens, HAS
• Grant Edward Stevens, HIS
• Theresa Stevens, HIS

• Internal Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.