JAMES B DESTEPHENS MD PA


Address: 2341 Nw 41st St Ste B, Gainesville, FL 32606-7442
Phone: 3523711804

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
ME0045204 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL NPI ATTACHED TO SS NO 1982684460 01
FL BLACK LUNG 175709 01

Office Location

Street Address 2341 NW 41ST ST STE B
City GAINESVILLE
State FL
Zip Code 32606-7442

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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City GAINESVILLE
Zip Code 32606

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Dataset Information

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.

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