Tea Kuharic Stephens, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME97374 Issued in FL

Practice address

3840 Belfort Rd
#102
Jacksonville, FL 32216-8207

Phone

(904) 371-4051

Fax

(888) 745-5445

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Bag Medical IncGroup PAC ID 5698777100, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heartland Hospice (Jacksonville) Hospice, Jacksonville, FL, CCN 101549

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Black Bag Medical Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1750440988
  Medicare reassignment Care Compare group NPD
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Green Cove Springs, FL
  • NPI 1134204720
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Odyssey Healthcare Holding Company

  • Community Based Hospice Care Agency
  • Jacksonville, FL
  • NPI 1093415762
  Care Compare affiliation

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1861613663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 DEERWOOD LAKE PKWY",
            "address_2": "STE 101 PMB 321",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161177",
            "telephone_number": "904-371-4051",
            "fax_number": "888-745-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 BELFORT RD",
            "address_2": "#102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168207",
            "telephone_number": "904-371-4051",
            "fax_number": "888-745-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHARIC STEPHENS",
        "first_name": "TEA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME97374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Kudlak
• Brandon Edward Kuebler, MD
• Christina Kuebler, PA-C
• Roberta Kuehn
• Stephen Kuehn, MD
• Donald Robertson Kuhl, APA-C
• Anastasia Kuhles
• Peter D Kuhlman, MD
• Terry Kuhlwein, MD
• Julie K Kuhns, LCSW

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.