MEDICARE: DR. STEPHEN F BEISSINGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	ME37792	FL
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	ME37792	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	17499	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417954827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN F BEISSINGER M.D.

Provider Business Mailing Address
First Line	:	6325 US HIGHWAY 27 N
Second Line	:	SUITE 201
City	:	SEBRING
State	:	FL
Zip	:	33870-8226
Country	:	US
Telephone Number	:	863-385-2222
Fax Number	:	863-382-8765

Provider Business Practice Location Address
First Line	:	6325 US HIGHWAY 27 N STE 201
Second Line	:
City	:	SEBRING
State	:	FL
Zip	:	33870-8226
Country	:	US
Telephone Number	:	863-385-2222
Fax Number	:	863-382-8765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	12/29/2017

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