Individual provider Active NPI

Stephanie Owen

  • Emergency Medicine Physician
  • Fort Walton Beach, FL
National Provider Identifier
1972845238
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME127333 Issued in FL
Practice address
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone
(850) 863-7607
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME127333 FL Primary

Addresses

Primary practice location

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Mailing address

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone (850) 863-7607

Other practice location 1

5130 Sunforest Dr
Tampa, FL 33634-6318
Phone (866) 949-0108

Other names 1

  • Stephanie Hall Former name

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
I20160719000009 FL Practitioner - Emergency Medicine 7315249984 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Walton Rural Hospital LLCGroup PAC ID 8123559168, 29 clinicians

Practice addresses (Care Compare)

4413 US Hwy 331 S
Defuniak Springs, FL 32435-6307
Phone (850) 920-2065

Hospital & facility affiliations

  • North Walton Doctors Hospital Hospital, Defuniak Springs, FL, CCN 100365

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Florida, LLC CurrentSince Jul 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jan 11, 2023 Accepting new patients
Floridian Emergency Specialists LLC Emergency Medicine Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 9, 2024 Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola Emergency Medicine CurrentSince Mar 15, 2022 Accepting new patients
North Walton Rural Hospital, LLC Emergency Medicine CurrentSince Sep 23, 2024 Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Jan 11, 2023 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Floridian Emergency Specialists, LLC Emergency Medicine CurrentSince May 15, 2020 Accepting new patients
Blue Job Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

200 Tequesta Dr
Destin, FL 32541
Phone (850) 837-9194

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

2190 Highway 85 N
Niceville, FL 32578
Phone (850) 678-4131

4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694

15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: ms_sowen30@landmarkhealth-direct.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1972845238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-863-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-863-7607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Sunforest Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336346318",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME127333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.