Stephanie Phan, DO
NPI 1639664717 · Pediatrics Physician · Davenport, FL
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephanie Phan, DO is a Pediatrics Physician provider in Davenport, FL (NPI 1639664717).
Provider details
- NPI number
- 1639664717
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- License
- OS17951 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
8 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$79 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 6484 Fort Caroline RdJacksonville, FL 32277-2042Phone: (904) 659-4735
Registry dates
- Enumerated
- 2018-06-29
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Frequently asked questions
- What is Stephanie Phan's NPI number?
- Stephanie Phan's National Provider Identifier (NPI) is 1639664717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephanie Phan's specialty?
- Stephanie Phan is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Stephanie Phan located?
- Stephanie Phan's practice location on file with NPPES is 410 Lionel Way Fl 3, Davenport, FL 33837-7809.
- What is Stephanie Phan's phone number?
- The practice phone number listed in the NPPES registry for Stephanie Phan is (863) 293-1191.
- Does Stephanie Phan accept Medicare?
- Stephanie Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephanie Phan's NPI active?
- Yes — Stephanie Phan's NPI (1639664717) is active in the NPPES registry as of the last update on 2026-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.