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JOSEPH STIDHAM M.D.
NPI 1477908218
Pediatrics - Pediatric Cardiology in Gainesville, FL

Active since April 29, 2016PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 265-0111 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2020, Jun 11, 2019 (2 updates tracked since 2019).

About Joseph Stidham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH STIDHAM M.D. (NPI 1477908218) is an individual pediatric cardiology provider in Gainesville, Florida, licensed in Florida (ME175696) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1477908218
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameJOSEPH STIDHAMCredential: M.D.
Location Address1600 SW ARCHER RDGainesville, FL 32610-9760
Mailing AddressPo Box 100296Gainesville, FL 32610-0296 · (352) 273-7770
Phone(352) 265-0111
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 29, 2016
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1477908218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in FL · ME175696
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 59453 (TN), ME175696 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1600 SW ARCHER RD, Gainesville, FL 32610
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Secondary Practice Location 1

Location 13601 The Vanderbilt ClinicNashville, TN 37232-9760 · Phone (615) 322-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Stidham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921337833
PECOS Enrollment IDI20250820005020
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Stidham's NPI number?

The NPI number for Joseph Stidham is 1477908218. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Joseph Stidham located?

Joseph Stidham practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-0111.

What is Joseph Stidham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Joseph Stidham enrolled in Medicare?

Yes. Joseph Stidham is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Stidham accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Joseph Stidham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Stidham was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.