Stephen F. Kitchen MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

039839 Issued in GA

Legal business name

STEPHEN F. KITCHEN MD PC

Practice address

3226 Hampton Ave Ste B
Brunswick, GA 31520-4257

Phone

(912) 265-0492

Fax

(912) 265-1091

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Fredrick Kitchen, M.D.NPI 1780616904

Title

President

Phone

(912) 265-0492

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 3

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

• Stephen F Kitchen, MD

  • Surgery Physician
  • Brunswick, GA
  • NPI 1780616904
  Medicare reassignment NPD Authorized official
• Daniel James Reichenbach, MD

  • Surgery Physician
  • New Bern, NC
  • NPI 1396765715
  NPD (past)
• Omid Yeganeh, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1194143602
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1891979233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 HAMPTON AVE STE B",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204257",
            "telephone_number": "912-265-0492",
            "fax_number": "912-265-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 HAMPTON AVE STE B",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204257",
            "telephone_number": "912-265-0492",
            "fax_number": "912-265-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN F. KITCHEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "KITCHEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-265-0492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "039839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52575527",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000665035B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "020036094",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina E Squires, CRNA
• Bridget Staab, O.D.
• Craig S Staab, D.O.
• Delena Stanton, RN
• Stay Focused Eyecare
• Stephen G. Pappas, M.D., P.C.
• Reejis Stephen, M.D.
• Steven a. Mansfield, LPC, Inc
• Steven Davis Counseling, LLC
• Steven Forrest Cowan

• Surgery Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.