Stephen Carl Anderson

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME47464 Issued in FL

Practice address

1353 74TH Cir NE
St Petersburg, FL 33702-4617

Phone

(727) 526-9207

Fax

(727) 520-8197

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Diagnostic Radiology

Education

University of Maryland School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Orthopedic Clinic III PLGroup PAC ID 4284532755, 538 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBHHAA
• Direct secure messaging: stephen.anderson.2@18802.direct.athenahealth.com

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.

• Tallahassee Orthopedic Clinic III PL

  • Medical Specialty Clinic/Center
  • Tallahassee, FL
  • NPI 1194778050
  Medicare reassignment Care Compare group NPD
• Musculoskeletal Institute Chartered

  • Orthopaedic Surgery Physician
  • Temple Terrace, FL
  • NPI 1386639920
  Medicare reassignment NPD
• Simonmed Imaging Florida LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1477830818
  Medicare reassignment NPD
• Rose Radiology Centers, LLC

  • Radiology Clinic/Center
  • Brandon, FL
  • NPI 1629162904
  Medicare reassignment
• Musculoskeletal Institute Chartered

  • Orthopaedic Surgery Physician
  • New Port Richey, FL
  • NPI 1245863034
  NPD
• Simonmed Imaging Florida LLC

  • Diagnostic Radiology Physician
  • Kissimmee, FL
  • NPI 1790354983
  NPD
• Tallahassee Orthopedic Clinic III, P.L.

  • Durable Medical Equipment & Medical Supplies
  • Panama City Beach, FL
  • NPI 1497617948
  NPD
• Tampa Bay Imaging LLC

  • Radiology Clinic/Center
  • Tampa, FL
  • NPI 1790718096
  NPD
• Tampa Bay Imaging LLC

  • Radiology Clinic/Center
  • Pinellas Park, FL
  • NPI 1912952482
  NPD
• Elite Imaging, LLC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319
  NPD (past)
• Gateway Radiology Consultants, P.a.

  • Urgent Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1952747842
  NPD (past)
• MRI-South Umberton Inc

  • Diagnostic Radiology Physician
  • Pinellas Park, FL
  • NPI 1801889902
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1871547737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 74TH CIR NE",
            "address_2": "ALL FLORIDA ORTHOPAEDIC ASSOCIATES",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024617",
            "telephone_number": "727-526-9207",
            "fax_number": "727-520-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 74TH CIR NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024617",
            "telephone_number": "727-526-9207",
            "fax_number": "727-520-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEPHEN",
        "middle_name": "CARL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME47464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300075304",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09657",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063561800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn Anderson, N/A
• Rebecca Anderson
• Robyn Anderson
• Sandra Anderson
• Stephanie Anderson, ARNP
• Whitney Griffin Anderson, M.A. CCC-SLP
• Andi Hunsinger Speech Pathologist, LLC
• James Andjelic, APRN
• Andrea M Scremin MD LLC
• Andrea Woods MD PA

• Diagnostic Radiology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.