STEPHEN ANDREW PEPPERS


Address: 2627 Riverside Ave, 3rd Floor, Jacksonville, FL 32204-4712
Phone: 9046340640

STEPHEN ANDREW PEPPERS (NPI# 1972869212) 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) 1972869212
Entity Type Individual
Full Name STEPHEN ANDREW PEPPERS
Credential PA-C
Practice Address 2627 Riverside Ave
3rd Floor
Jacksonville
FL 32204-4712
Mailing Address 6500 Bowden Rd
Suite 103
Jacksonville
FL 32216-8070
Practice Telephone 9046340640
Practice Fax Number 9046340203
Mailing Telephone 9046340640
Mailing Fax Number 9046340203
Enumeration Date 2012-04-11
Last Update Date 2016-07-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9106457 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 008924500 05

Other Providers STEPHEN PEPPERS

NPI Name Taxonomy Address Enumeration
1285026740 Stephen Peppers Counselor 30800 Chagrin Blvd, Cleveland, OH 44124-5925 2015-02-20

Office Location

Street Address 2627 RIVERSIDE AVE
3RD FLOOR
City JACKSONVILLE
State FL
Zip Code 32204-4712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770575052 Belton Craig Ray Family Medicine 2627 Riverside Ave, Jacksonville, FL 32204-4712 2005-08-22
1215549316 Renee E Alten Student in an Organized Health Care Education/Training Program 2627 Riverside Ave, Jacksonville, FL 32204-4717 2020-08-19
1114538634 Faradia Pierre Student in an Organized Health Care Education/Training Program 2627 Riverside Ave, Jacksonville, FL 32204-4717 2020-08-10
1841817772 Kelsey Rhae Williams Family Medicine 2627 Riverside Ave, Jacksonville, FL 32204-4717 2020-06-26
1477170488 Lisa Michelle Alley Family Medicine 2627 Riverside Ave, Jacksonville, FL 32204-4717 2020-06-26
1104443126 Verniecea J Harris Family Medicine 2627 Riverside Ave, Jacksonville, FL 32204-4717 2020-06-26
1508483421 Lacey J Rokita Family Medicine 2627 Riverside Ave, Jacksonville, FL 32204-4717 2020-06-26
1497372320 Annika Tabassum Family Medicine 2627 Riverside Ave, Jacksonville, FL 32204-4717 2020-06-26
1023635943 Yvonne Nyakio Kamau Family Medicine 2627 Riverside Ave, Jacksonville, FL 32204-4717 2020-06-26
1114542859 Olivia Michelle Bullock Student in an Organized Health Care Education/Training Program 2627 Riverside Ave, Jacksonville, FL 32204-4717 2020-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1770043531 Manuel Viado Rosas Physical Therapist Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 2019-03-20
1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32204

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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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