Individual provider Active NPI

Constance Strbich, D.O.

  • Family Medicine Physician
  • Englewood, FL
National Provider Identifier
1033148978
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS18338 Issued in FL
Practice address
2828 South McCall Road
Suite 21
Englewood, FL 34224-9517
Phone
(941) 290-5111
Fax
(941) 473-3583
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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 OS18338 FL Primary

Addresses

Primary practice location

2828 South McCall Road
Suite 21
Englewood, FL 34224-9517

Mailing address

2828 South McCall Road
Suite 21
Englewood, FL 34224-9517
Phone (941) 290-5111

Other identifiers 3

IdentifierTypeStateIssuer
010F476090OtherMIBCBS
5640006OtherMABCBS PIN
080104428OtherMIRAILROAD MEDICARE

Other names 1

  • Constance Wagner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100215000520 MI Practitioner - Family Practice 7113061151
I20211228000470 FL Practitioner - Family PracticePractitioner - General Practice 7113061151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Ohio University, College of Osteopathic Medicine, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lake Erie College of Osteopathic MedicineGroup PAC ID 7719141472, 3 clinicians

Practice addresses (Care Compare)

2828 S McCall Rd
21 Lecom Englewood Family Practice
Englewood, FL 34224-9517
Phone (941) 474-8154

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as individual
Quality
87.06
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Erie College of Osteopathic Medicine Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Mercy Urgent Care Family Medicine Past Accepting new patients

Locations

2828 S McCall Rd
Ste 21
Englewood, FL 34224
Phone (941) 290-5111

Interoperability endpoints

  • Direct secure messaging: constance.strbich.1@12450.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1033148978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 SOUTH MCCALL ROAD",
            "address_2": "SUITE 21",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342249517",
            "telephone_number": "941-290-5111",
            "fax_number": "941-473-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 SOUTH MCCALL ROAD",
            "address_2": "SUITE 21",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342249517",
            "telephone_number": "941-290-5111",
            "fax_number": "941-473-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRBICH",
        "first_name": "CONSTANCE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010F476090",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "5640006",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080104428",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "WAGNER",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.