DR. STEPHEN MARK ROSS (NPI# 1194700823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194700823 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MARK ROSS |
| Credential | MD,PHD |
| Practice Address |
2811 Tamiami Trl Ste Q Port Charlotte FL 33952-5135 |
| Mailing Address |
Po Box 380877 Murdock FL 33938-0877 |
| Practice Telephone | 9419795200 |
| Practice Fax Number | 9419795201 |
| Mailing Telephone | 9419795200 |
| Mailing Fax Number | 9419795201 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME75401L | FL | Allopathic & Osteopathic Physicians |
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
FL | Ambulatory Health Care Facilities | |
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
PMC1664 | FL | Ambulatory Health Care Facilities |
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
PMC1756 | FL | Ambulatory Health Care Facilities |
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
PMC1621 | FL | Ambulatory Health Care Facilities |
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
HCC8516 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN SAR PAIN INSTITUTE LLC | FK751A | 01 |
| FL | HUMANA | 150492200863 | 01 |
| FL | BCBS | V2822 | 01 |
| FL | PAIN MANAGEMENT | PMC1621 | 01 |
| FL | HEALTH CARE CLINIC PERMIT | 4213 | 01 |
| FL | AHCA RX FOR IMAGING | HCC8516 | 01 |
| FL | PAIN MANAGEMENT | PMC1756 | 01 |
| FL | AMERIGROUP | 213119 | 01 |
| MEDICARE PERSONAL PTAN | 35702L | 01 | |
| FL | PAIN MANAGEMENT CLINIC | PMC1148 | 01 |
| FL | 262392700 | 05 | |
| FL | DEA | BR4247791 | 01 |
| FL | RX FOR IMAGING MEDICARE | CO744 | 01 |
| FL | PAIN MANAGEMENT | PMC1664 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2706 Se Santa Barbara Pl, Suite B, Cape Coral, FL 33904 | 2394710721 | 2394710732 |
| 2811 Tamiami Trl Ste Q, Port Charlotte, FL 339525135 | 9419795200 | 9419795201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710903570 | Stephen Carl Ross | Counselor | 179 Wolf Creek Rd, Bernville, PA 19506-8694 | 2006-07-14 |
| 1467458695 | Stephen Gerard Ross | Psychologist | 4630 W Jefferson Blvd Ste 5, Fort Wayne, IN 46804-6800 | 2005-06-22 |
| 1790338457 | Stephen J Ross | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2019-07-22 |
| 1679131387 | Stephen Ross | Student in an Organized Health Care Education/Training Program | 900 Ne 10th St, Oklahoma City, OK 73104-5420 | 2019-05-29 |
| 1023280658 | Stephen L. Ross | Physician Assistant | 800 Hospital Dr, Columbia, MO 65201-5275 | 2008-03-24 |
| 1083825590 | Stephen Ross | Psychiatry & Neurology | 35 E 35th St, 1m, New York, NY 10016-3823 | 2007-05-25 |
| 1053527317 | Stephen James Ross | Chiropractor | 3925 Sw 153rd Drive, Ste 210, Beaverton, OR 97006 | 2007-05-15 |
| 1881784569 | Stephen Ross | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-13 |
| 1386737146 | Stephen Dixon Ross | Psychologist | 6900 Alden Drive, Attn: 90 Mdos/sgof-fam Hlth, Fe Warren Afb, WY 82005-3913 | 2006-10-02 |
| 1700998853 | Stephen Michael Ross | Dentist | 110 Lockwood Ave, New Rochelle, NY 10801-5028 | 2006-08-31 |
| Street Address |
2811 TAMIAMI TRL STE Q |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-5135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629336193 | Sar Medical Institute LLC | Clinic/Center | 2811 Tamiami Trl Ste Q, Port Charlotte, FL 33952 | 2012-05-02 |
| 1558513002 | Stephen M. Ross | Radiology | 2811 Tamiami Trl Ste Q, Port Charlotte, FL 33952 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629336193 | Sar Medical Institute LLC | Clinic/Center | 2811 Tamiami Trl Ste Q, Port Charlotte, FL 33952 | 2012-05-02 |
| 1275797714 | Charlotte Pain Management Center Inc | Clinic/Center | 3109 Tamiami Trl, Unit 3, Port Charlotte, FL 33952-8046 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218180 | Alicia's LLC | Clinic/Center | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
| 1457815474 | Kadia Medical, LLC | Clinic/Center | 813 Deltona Blvd Ste A, Deltona, FL 32725-7154 | 2019-01-23 |
| 1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1962917153 | Rejuveunique, Inc | Clinic/Center | 4259 10th Ave N Ste B, Palm Springs, FL 33461-2323 | 2017-12-10 |
| 1457866782 | Freedom Pain Management, Lcc | Clinic/Center | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2017-12-08 |
| 1134632474 | North Florida Sports and Spine Center Inc. | Clinic/Center | 1540 Business Center Dr Ste C, Fleming Island, FL 32003-4419 | 2017-11-08 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on DR. STEPHEN MARK ROSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.