Individual provider Active NPI

Stephen Stowers, MD

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1902899826
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0045359 Issued in FL
Practice address
6867 Southpoint Drive North
Ste 111
Jacksonville, FL 32216-8005
Phone
(904) 296-0278
Fax
(904) 296-0279
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0045359 FL Primary
Interventional Cardiology Physician 207RI0011X ME0045359 FL

Addresses

Primary practice location

6867 Southpoint Drive North
Ste 111
Jacksonville, FL 32216-8005

Mailing address

6867 Southpoint Drive North
Ste 111
Jacksonville, FL 32216-8005
Phone (904) 296-0278

Other identifiers 3

IdentifierTypeStateIssuer
069358800MedicaidFL
110018797OtherFLMEDICARE RAILROAD
110018797OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0045359FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Heart Group Cardiovascular Disease Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1902899826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6867 SOUTHPOINT DRIVE NORTH",
            "address_2": "STE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168005",
            "telephone_number": "904-296-0278",
            "fax_number": "904-296-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6867 SOUTHPOINT DRIVE NORTH",
            "address_2": "STE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168005",
            "telephone_number": "904-296-0278",
            "fax_number": "904-296-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWERS",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0045359",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME0045359",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069358800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110018797",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110018797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.