NPIMap

Individual provider Active NPI

Stephanie Oyen, MD

  • Internal Medicine Physician
  • Lakeland, FL
National Provider Identifier
1902226442
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME133304 Issued in FL
Practice address
4315 Highland Park Blvd Ste D
Lakeland, FL 33813-1639
Phone
(863) 816-5884
Fax
(813) 677-5690
NPI assigned
Apr 23, 2014
Last updated
Jul 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME133304 FL Primary

Addresses

Primary practice location

4315 Highland Park Blvd Ste D
Lakeland, FL 33813-1639

Mailing address

4315 Highland Park Blvd
Internal Medicine
Lakeland, FL 33813-1639
Phone (863) 816-5884

Other practice location 1

821 Elliott St
Family Medicine
Alexandria, LA 71301-7732
Phone (318) 441-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106000818 FL Practitioner - Internal MedicinePractitioner - Family Practice 4486958998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B Hevert MD PAGroup PAC ID 4486603834, 8 clinicians

Practice addresses (Care Compare)

3848 Fau Blvd
Suite 210
Boca Raton, FL 33431-6437
Phone (561) 394-3088

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
David B Hevert MD LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Fort Lauderdale Physician Services, LLC CurrentSince Feb 27, 2019 Accepting new patients
Sanative Medical Group PLLC Past Accepting new patients

Locations

3848 Fau Blvd
Ste 210
Boca Raton, FL 33431
Phone (561) 394-3088

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

Organizations & group practices 3

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1902226442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 HIGHLAND PARK BLVD",
            "address_2": "INTERNAL MEDICINE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131639",
            "telephone_number": "863-816-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HIGHLAND PARK BLVD STE D",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131639",
            "telephone_number": "863-816-5884",
            "fax_number": "813-677-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Elliott St",
            "address_2": "Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713017732",
            "country_code": "US",
            "telephone_number": "318-441-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYEN",
        "first_name": "STEPHANIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME133304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.