Individual provider Active NPI

Stephen F Scholle, MD

  • Family Medicine Physician
  • Fort Myers Beach, FL
National Provider Identifier
1023025731
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 0033695 Issued in FL
Practice address
1661 Estero Blvd
Ste 1
Fort Myers Beach, FL 33931-2846
Phone
(239) 765-0007
Fax
(239) 765-0247
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 0033695 FL Primary

Addresses

Primary practice location

1661 Estero Blvd
Ste 1
Fort Myers Beach, FL 33931-2846

Mailing address

PO Box 6970
Fort Myers Beach, FL 33932
Phone (239) 765-0007

Other identifiers 1

IdentifierTypeStateIssuer
90071995OtherFLRR MEDICARE

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

LicenseStateTypeSpecialty
ME 0033695FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Leasing LLC PastSince Apr 24, 1999 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1023025731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6970",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "33932",
            "telephone_number": "239-765-0007",
            "fax_number": "239-765-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 ESTERO BLVD",
            "address_2": "STE 1",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339312846",
            "telephone_number": "239-765-0007",
            "fax_number": "239-765-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLLE",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 0033695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "90071995",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.