MR. STEPHEN E DUCKER (NPI# 1861509176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861509176 |
Entity Type | Individual |
Full Name | MR. STEPHEN E DUCKER |
Credential | MD |
Practice Address |
1150 Cielo Ct North Venice FL 34275-2222 |
Practice Telephone | 8133616758 |
Mailing Telephone | 8133616758 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-06-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | ME117152 | FL | Allopathic & Osteopathic Physicians |
N | 367500000X | Nurse Anesthetist, Certified Registered | ARNP2679832 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 300373600 | 05 | |
FL | RR MEDICARE | 430068342 | 01 |
FL | BCBS | G2134 | 01 |
Street Address |
1150 CIELO CT |
City | NORTH VENICE |
State | FL |
Zip Code | 34275-2222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679113872 | Merritt Home Healthcare, LLC | Registered Nurse | 2500 N Tamiami Trail, Nokomis, FL 34275 | 2020-01-15 |
1093373128 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 1200 Tamiami Trl N, Nokomis, FL 34275 | 2019-06-04 |
1972668820 | Evelyn Joan Harn | Massage Therapist | 1540 Bay Shore Rd, Nokomis, FL 34275 | 2006-12-22 |
1962571240 | Jesulin Baranda Alindogan | General Practice | 621 N Tamiami Trail, Nokomis, FL 34275 | 2006-11-08 |
1760561914 | Craig Russell Allen | General Practice | 2512 N Tamiami Tr, Nokomis, FL 34275 | 2006-11-06 |
1366546426 | Jennifer Lynn Jaworski | Dentist | 2420 Tamiami Tr N, Nokomis, FL 34275 | 2006-09-11 |
1255376505 | Tammy L Hasque | Massage Therapist | 115 Tamiami Trail, Suite 9, Nokomis, FL 34275 | 2006-06-19 |
1083652960 | Robert J Sacks | Family Medicine | 5648 Semolino St, Nokomis, FL 34275 | 2006-06-03 |
1932177532 | Instride Therapy, Inc. | Clinic/Center | 1621 Ranch Rd, Nokomis, FL 34275 | 2006-03-09 |
1518949676 | Coastal Care Nursing Associates, Inc | Home Health | 340 Tamiami Trail S., Suite 203, Nokomis, FL 34275 | 2005-11-15 |
Find all providers in zip 34275 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
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1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
Find all providers with the same taxonomy |
City | NORTH VENICE |
Zip Code | 34275 |
Please comment or provide details below to improve the information on MR. STEPHEN E DUCKER.
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.