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STEVEN KNEZEVICH M.D. P.A. NPI 1417251034


NPI Information

NPI: 1417251034
Provider Name: STEVEN KNEZEVICH, M.D., P.A.

Doing Business As: NORTHSIDE ORTHOPAEDICS

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3820 NORTHDALE BLVD.,
SUITE 105A
TAMPA, FL
ZIP 33624
Phone: (813) 960-1655
Get Directions

STEVEN KNEZEVICH, M.D., P.A. is an orthopaedic surgery in Tampa, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. STEVEN KNEZEVICH, M.D., P.A. NPI is 1417251034. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northside Orthopaedics.

The provider's business location address is:

3820 NORTHDALE BLVD.,
SUITE 105A
TAMPA, FL
ZIP 33624-834
Phone: (813) 960-1655
Fax: (813) 960-3681

The provider's authorized official is Stephanie Portales .
The authorized official title is Office Manager and has the following contact phone number (813) 960-1655.

The enumeration date for this NPI number is 12/23/2010 and was last updated on 1/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryME60554FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1056274200MEDICAIDFLORIDA
2E94149MEDICARE UPINFLORIDA
3EG832AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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