James B Destephens MD PA
NPI 1639213101ActiveOrganization· Internal Medicine, Cardiovascular Disease· Gainesville, FL
Internal Medicine, Cardiovascular Disease in Gainesville, Florida, registered in NPPES in February 2007. The authorized official on file is James Bruce Destephens, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639213101 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | ME0045204 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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