Organization Active NPI

Stephen L Helgemo Jr MD PA

  • Orthopaedic Hand Surgery Physician
  • Port Charlotte, FL
National Provider Identifier
1982681490
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
ME0072747 Issued in FL
Legal business name
STEPHEN L HELGEMO JR MD PA
Doing business as
Florida Hand Center
Practice address
18344 Murdock Cir
Port Charlotte, FL 33948-1008
Phone
(941) 625-6547
Fax
(941) 629-6415
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Stephen L Helgemo Jr., MDNPI 1235142969
Title
President
Phone
(941) 625-6547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X ME0072747 FL Primary

Addresses

Primary practice location

18344 Murdock Cir
Port Charlotte, FL 33948-1008

Mailing address

18344 Murdock Cir
Port Charlotte, FL 33948-1008
Phone (941) 625-6547

Other identifiers 5

IdentifierTypeStateIssuer
21069OtherFLBCBS
2193065OtherAETNA
280461OtherFLWELLCARE OF FL
279079300MedicaidFL
8561780006OtherCIGNA

Other names 1

  • Florida Hand Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050901000147 FL Part B Supplier - Clinic/Group Practice 7618909433 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Myers, FL; Port Charlotte, FL
O20100930066361 FL DME Supplier - Physician - Hand Surgery 7618909433 Practice locations: Port Charlotte, FL

National Provider Directory

National Provider Directory

Locations

13710 Metropolis Ave
Ste 103
Fort Myers, FL 33912
Phone (239) 424-8910

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1982681490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18344 MURDOCK CIR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481008",
            "telephone_number": "941-625-6547",
            "fax_number": "941-629-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18344 MURDOCK CIR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481008",
            "telephone_number": "941-625-6547",
            "fax_number": "941-629-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L HELGEMO JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "HELGEMO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-625-6547",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME0072747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21069",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2193065",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF FL",
            "identifier": "280461",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279079300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8561780006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Hand Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.