Individual provider Active NPI

Stephen S Falkowski, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Chiefland, FL
National Provider Identifier
1902879158
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
OS11123 Issued in FL
Practice address
410 N Main St
Chiefland, FL 32626-0866
Phone
(352) 493-7274
Fax
(352) 493-9290
NPI assigned
Feb 8, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS11123 FL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X OS11123 FL Primary

Addresses

Primary practice location

410 N Main St
Chiefland, FL 32626-0866

Mailing address

23476 NW 186TH Ave
High Springs, FL 32643-0673
Phone (386) 454-0698

Other practice location 1

630 N Main St
Williston, FL 32696-1705
Phone (352) 528-0587

Other identifiers 2

IdentifierTypeStateIssuer
EBO33ZOtherFLMEDICARE PTAN
002889900MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101206001122 FL Practitioner - General PracticePractitioner - Geriatric Medicine 5496786501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Geriatric Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trenton Medical Center IncGroup PAC ID 2365359387, 71 clinicians

Practice addresses (Care Compare)

103 US 27 SW
Brandford, FL 32008-3048
Phone (386) 935-3090

1830 N Main St
Bell, FL 32619-4713
Phone (352) 463-1100

410 N Main St
Chiefland, FL 32626-1951
Phone (352) 493-7274

911 S Main St
Trenton, FL 32693-3239
Phone (352) 463-2374

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Medical Center, Inc. CurrentSince Nov 1, 2010 Accepting new patients
Trenton Medical Center Inc Current Accepting new patients
Trenton Medical Center, Inc CurrentSince Nov 1, 2010 Accepting new patients
Trenton Medical Center, Inc. PastSince Nov 19, 2023 Accepting new patients

Locations

1830 N Main St
Bell, FL 32619
Phone (352) 463-1100

103 US Highway 27 SW
Branford, FL 32008
Phone (386) 395-3090

410 N Main St
Ste 1
Chiefland, FL 32626
Phone (352) 369-0770

410 N Main St
Ste 12
Chiefland, FL 32626
Phone (352) 493-1686

2349 Village Square Pkwy
Ste 110111
Fleming Island, FL 32003
Phone (904) 385-2023

200 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 265-9484

16916 NW US Highway 441
High Springs, FL 32643
Phone (386) 454-0568

23343 NW County Road 236
High Springs, FL 32643

23476 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0568

173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020

4784 W US Highway 90
Lake City, FL 32055
Phone (386) 269-9260

211 Ranchera St NW
Live Oak, FL 32064
Phone (386) 364-1751

922 E Call St
#100
Starke, FL 32091
Phone (904) 364-2900

911 S Main St
Trenton, FL 32693
Phone (352) 463-2374

630 N Main St
Williston, FL 32696
Phone (352) 528-0587

Organizations & group practices 4

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 2

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1902879158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23476 NW 186TH AVE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326430673",
            "telephone_number": "386-454-0698",
            "fax_number": "386-454-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260866",
            "telephone_number": "352-493-7274",
            "fax_number": "352-493-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 N Main St",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "FL",
            "postal_code": "326961705",
            "country_code": "US",
            "telephone_number": "352-528-0587",
            "fax_number": "352-463-2726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALKOWSKI",
        "first_name": "STEPHEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS11123",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS11123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EBO33Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002889900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

Verify at the official NPI Registry.