Provider Demographics
NPI:1982719779
Name:SCHEPENS, STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:SCHEPENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:
Other - Last Name:SCHEPENS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1810
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39502-1810
Mailing Address - Country:US
Mailing Address - Phone:228-896-4417
Mailing Address - Fax:228-604-0121
Practice Address - Street 1:394 COURTHOUSE RD
Practice Address - Street 2:SUITE A
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-1865
Practice Address - Country:US
Practice Address - Phone:228-896-4417
Practice Address - Fax:228-604-0121
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS16043207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS080156201OtherRAILROAD MEDICARE
MS00121762Medicaid
MS$$$$$$$$$HOtherBCBS
MS080156201OtherRAILROAD MEDICARE
MS080003195Medicare ID - Type Unspecified
MS$$$$$$$$$HOtherBCBS
MS080156201OtherRAILROAD MEDICARE
MS512I080210Medicare PIN