Individual provider Active NPI

Sharol Angella Patterson, M.D.

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1124256532
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME104832 Issued in FL
Practice address
6971 W Sunrise Blvd
Suite 201
Plantation, FL 33313-4407
Phone
(954) 321-7700
Fax
(954) 584-4514
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME104832 FL Primary

Addresses

Primary practice location

6971 W Sunrise Blvd
Suite 201
Plantation, FL 33313-4407

Mailing address

6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 500-2000

Other names 1

  • Sharol Angella Noble Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000586 FL Practitioner - Internal Medicine 7315085065 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

1500 Beville Rd
Suite 105
Daytona Beach, FL 32114-5646
Phone (386) 238-9217

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Roy H Hinman MD PA CurrentSince Nov 1, 2021 Accepting new patients
Island Doctors Intrastate LLC CurrentSince Nov 1, 2021 Accepting new patients
East Coast Hospital Inpatient Specialists PLC Past Accepting new patients
Lina L Feaster PA PastSince Jan 2, 2004 Accepting new patients

Locations

1500 Beville Rd
Ste 105
Daytona Beach, FL 32114
Phone (386) 213-4148

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

810 NW 16th Ave
Unit A
Gainesville, FL 32601

3100 Stirling Rd
#A
Hollywood, FL 33021
Phone (954) 962-9811

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

228 W Alexander St
Plant City, FL 33563
Phone (813) 754-5480

6971 W Sunrise Blvd
Ste 201
Plantation, FL 33313
Phone (954) 321-7700

729 Beville Rd
South Daytona, FL 32119
Phone (386) 256-4791

2460 Old Moultrie Rd
Ste 1
St Augustine, FL 32086
Phone (904) 293-0299

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1124256532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6971 W SUNRISE BLVD",
            "address_2": "SUITE 201",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333134407",
            "telephone_number": "954-321-7700",
            "fax_number": "954-584-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SHAROL",
        "middle_name": "ANGELLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAROL",
            "last_name": "NOBLE",
            "middle_name": "ANGELLA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.