JAMES B DESTEPHENS MD PA (NPI# 1639213101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639213101 |
| Entity Type | Organization |
| Organization Name | JAMES B DESTEPHENS MD PA |
| Practice Address |
2341 Nw 41st St Ste B Gainesville FL 32606-7442 |
| Practice Telephone | 3523711804 |
| Practice Fax Number | 3523712033 |
| Mailing Telephone | 3523711804 |
| Mailing Fax Number | 3523712033 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES BRUCE DESTEPHENS (MD) |
| Authorized Official Telephone | 3523711804 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME0045204 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI ATTACHED TO SS NO | 1982684460 | 01 |
| FL | BLACK LUNG | 175709 | 01 |
| Street Address |
2341 NW 41ST ST STE B |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32606-7442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652389 | Michael James Watkins | Massage Therapist | 6418 Nw 39th Ave, Gainesville, FL 32606 | 2020-09-06 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1588283568 | Jeena Kar | Student in an Organized Health Care Education/Training Program | Uf Psychiatry Residency Training, 4101 Nw 89th Boulevard, Rm 1796, Gainesville, FL 32606 | 2020-04-10 |
| 1467917864 | Marquetta Lee | Social Worker | 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 | 2019-02-10 |
| 1376025742 | Jacob Sanow | Student in an Organized Health Care Education/Training Program | 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 | 2018-09-03 |
| 1750878393 | Taylor Brown | Occupational Therapist | 3850 Nw 83rd St # 201, Gainesville, FL 32606 | 2018-04-19 |
| 1568914471 | Bernard Mitchll | Behavior Technician | 3515 Nw 60th Terrace, Gainesville, FL 32606 | 2016-10-26 |
| 1760839534 | Nancy Christiana Collins | Counselor | 4907 Nw 43rd St C., Gainesville, FL 32606 | 2016-05-20 |
| 1730553140 | Dawn Johnson O'byrne | Counselor | 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 | 2015-11-23 |
| 1225424815 | Dianne Voitle | Acupuncturist | 2727b N.w. 43rd St. Suite 8, Gainesville, FL 32606 | 2015-04-09 |
| Find all providers in zip 32606 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690775 | The Cardiac and Vascular Institute Ambulatory Surgery Center | Internal Medicine | 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 | 2019-10-08 |
| 1861583833 | Mark Velpeau Barrow Sr. | Internal Medicine | 1731-b Nw 6th Steet, Gainesville, FL 32609-3531 | 2006-09-27 |
| 1881650836 | James J Nelson Md Pa | Internal Medicine | 3720 Nw 83rd St, Gainesville, FL 32606-5603 | 2006-04-26 |
| 1902871155 | David P Johnson | Internal Medicine | 535 Jesse Jewell Parkway, Suite C, Gainesville, GA 30501 | 2006-02-21 |
| 1982684460 | James Bruce Destephens | Internal Medicine | 2341 Nw 41st St, Suite B, Gainesville, FL 32606-7494 | 2006-01-19 |
| 1497730428 | Khawaja N Anwar | Internal Medicine | 1902 Hospital Blvd Ste F, Gainesville, TX 76240-2008 | 2005-12-13 |
| 1255313649 | Southern Cardiac Interpretation Pa | Internal Medicine | 350 Nw 76th Dr, Suite B, Gainesville, FL 32607-6662 | 2005-11-19 |
| 1760484562 | Masih Uddin | Internal Medicine | 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 | 2005-08-11 |
| 1679572069 | Sudhakara Babu Chennareddy | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2005-07-18 |
| 1992124549 | Dhaval Naik | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2014-04-10 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32606 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.