Active NPI
Stephanie Owen
- Emergency Medicine Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME127333
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Florida, LLC | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Floridian Emergency Specialists LLC | Emergency Medicine | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola | Emergency Medicine | Current | Accepting new patients |
| North Walton Rural Hospital, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Floridian Emergency Specialists, LLC | Emergency Medicine | Current | 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
- 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.
-
- Rural Acute Care Hospital
- Defuniak Springs, FL
- NPI 1750142121
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Melbourne, FL
- NPI 1710210695
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
Emergency Medicine, FL
-
- Emergency Medicine Physician
- Crestview, FL
- NPI 1992150007
Emergency Medicine
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
- Emergency Medicine Physician
- Fort Walton Beach, FL
- NPI 1457760142
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Defuniak Springs, FL
- NPI 1750142121
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.