Active NPI
Stephen Sollot, D.O.
- Family Medicine Physician
- Venice, FL
National Provider Identifier
1093707267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS7631
- Practice address
- 4315 Tamiami TRL S
Venice, FL 34293-5117 - Phone
- (941) 497-4303
- Fax
- (941) 497-3107
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS7631 | FL | Primary |
Addresses
Primary practice location
4315 Tamiami TRL S
Venice, FL 34293-5117
Mailing address
4315 Tamiami TRL S
Venice, FL 34293-5117
Phone (941) 497-4303
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56716 | Other | FL | BCBS |
| 56716A | Other | FL | MEDICARE PTAN |
| P00614918 | Other | FL | RAILROAD MEDICARE |
| 254050900 | Medicaid | FL | |
| 080182478 | Other | FL | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080521000184 | FL | Practitioner - Family Practice | 2264501931 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1093707267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342935117",
"telephone_number": "941-497-4303",
"fax_number": "941-497-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342935117",
"telephone_number": "941-497-4303",
"fax_number": "941-497-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLLOT",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS7631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56716",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "56716A",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00614918",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254050900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "080182478",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.