Provider Demographics
NPI:1780752881
Name:STOKES, STEVEN HOLT (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:HOLT
Last Name:STOKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4587
Mailing Address - Country:US
Mailing Address - Phone:850-763-0036
Mailing Address - Fax:850-763-0259
Practice Address - Street 1:2100 STATE AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4587
Practice Address - Country:US
Practice Address - Phone:850-763-0036
Practice Address - Fax:850-763-0259
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80265207RX0202X, 2085R0001X, 2085R0203X
ALMD.102752085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL045892900Medicaid
FL61636AOtherBLUE CROSS BLUE SHIELD
AL3600178OtherUNITED HEALTHCARE
ALP00111865OtherRAILROAD MEDICARE
AL051517176OtherBCBS OF AL
AL051553974Medicaid
FL1089022OtherAETNA
FL364576561OtherCHAMP VA TRICARE
GA000355154BMedicaid
FL1780752881OtherBCBS
FL2763681OtherCIGNA
ALP00111865OtherRAILROAD MEDICARE
FL364576561OtherCHAMP VA TRICARE
FL1780752881OtherBCBS