P Dee G Stephenson MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

P DEE G STEPHENSON MD PA

Practice address

200 Palermo PL
Venice, FL 34285-2820

Phone

(941) 485-1121

Fax

(941) 486-0571

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

P Dee G Stephenson, M.D.NPI 1114988045

Title

President

Phone

(941) 485-1121

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• P Dee G Stephenson, M.D., P.A.

  • Ophthalmology Physician
  • Venice, FL
  • NPI 1114988045
  Medicare reassignment NPD Authorized official
• Beverly Sue Flynn, L.D.O.

  • Optician
  • Venice, FL
  • NPI 1265462683
  NPD (past)

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1922307347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PALERMO PL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852820",
            "telephone_number": "941-485-1121",
            "fax_number": "941-486-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PALERMO PL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852820",
            "telephone_number": "941-485-1121",
            "fax_number": "941-486-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P DEE G STEPHENSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "P DEE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-485-1121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07275",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063852800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Otis, PT
• Kayleigh Ott
• Patty Anne Ottobre, COTA
• Sarah Overacre
• Cara Overbeck, D.D.S.
• Ann Peggy Padiken
• Logan Michael Page, OD
• Patrick Page, M.D.
• Jordan Estuardo Palma, DPT
• Palmer Mobile Medical, LLC

• Ophthalmology Physician in Venice, FL
• Providers in Venice, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.