Active NPI
Stephen J. Patrice, MD
- Radiation Oncology Physician
- Sarasota, FL
National Provider Identifier
1013914092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- ME0070718
- Practice address
- 3210 Fruitville Rd
Sarasota, FL 34237-6411 - Phone
- (941) 364-8887
- Fax
- (941) 954-3222
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ME0070718 | FL | Primary |
Addresses
Primary practice location
3210 Fruitville Rd
Sarasota, FL 34237-6411
Mailing address
2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6850 | Other | FL | AVMED PIN NUMBER |
| 207227 | Other | FL | AMERIGROUP GROUP NUMBER |
| 24-06256 | Other | FL | UTD. HLTHCR. PROVIDER # |
| 5594330 | Other | FL | AETNA PROVIDER NUMBER |
| 3082505-022 | Other | FL | CIGNA PROVIDER NUMBER |
| 144023-01 | Other | FL | CITRUS HLTHCR. PROVIDER # |
| 71354 | Other | FL | OP. ENG. LOC. 825 PROV. # |
| 25667 | Other | FL | WELLCARE ID # |
| 203910 | Other | FL | AVMED PROVIDER NUMBER |
| ME70718A | Other | FL | METCARE PROVIDER ID # |
| P-11202016 | Other | FL | MULTIPLAN PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0070718 | FL | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1013914092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 FRUITVILLE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342376411",
"telephone_number": "941-364-8887",
"fax_number": "941-954-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICE",
"first_name": "STEPHEN",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "ME0070718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED PIN NUMBER",
"identifier": "6850",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP GROUP NUMBER",
"identifier": "207227",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTD. HLTHCR. PROVIDER #",
"identifier": "24-06256",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "5594330",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "3082505-022",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS HLTHCR. PROVIDER #",
"identifier": "144023-01",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OP. ENG. LOC. 825 PROV. #",
"identifier": "71354",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE ID #",
"identifier": "25667",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED PROVIDER NUMBER",
"identifier": "203910",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METCARE PROVIDER ID #",
"identifier": "ME70718A",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN PROVIDER NUMBER",
"identifier": "P-11202016",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.