Stephen Mark Ross, MD,PHD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

ME75401L Issued in FL

Practice address

6150 Manasota Key Rd
Englewood, FL 34223-9253

Phone

(410) 571-0350

Fax

(410) 571-7069

NPI assigned

Dec 15, 2005

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 13

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

Specialty

Interventional RadiologyAlso: Interventional Pain Management, Pain Management

Education

JC Edwards School of Medicine, Marshall University, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians

Delaware Radiology Associates PAGroup PAC ID 1557620036, 61 clinicians

Chesapeake Open MRI L L CGroup PAC ID 9931178373, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Sar Medical Institute LLC

  • Pain Clinic/Center
  • Port Charlotte, FL
  • NPI 1629336193
  Medicare reassignment NPD Authorized official
• Chesapeake Open MRI L L C

  dba Chesapeake Medical Imaging

  • Diagnostic Radiology Physician
  • Annapolis, MD
  • NPI 1396076642

  FL

  Medicare reassignment Care Compare group NPD
• Delaware Radiology Associates PA

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1740706175

  FL

  Medicare reassignment Care Compare group NPD
• Maryland Imaging Network PC

  • Diagnostic Radiology Physician
  • Prince Frederick, MD
  • NPI 1487296471

  FL

  Medicare reassignment Care Compare group NPD
• Mid Florida Primary Care PA

  • Internal Medicine Physician
  • Leesburg, FL
  • NPI 1598827479
  Medicare reassignment NPD
• Community Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1396707782

  FL

  Medicare reassignment NPD
• Stephen M. Ross

  dba SAR Imaging Radiology Consultants

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
  • NPI 1558513002
  NPD Authorized official
• Mid-Florida Primary Care PA

  • Internal Medicine Physician
  • Leesburg, FL
  • NPI 1104251370
  NPD
• U I F Inc

  dba Ultra Imaging of Florida

  • Mobile Radiology Clinic/Center
  • Sarasota, FL
  • NPI 1205075819
  NPD
• Lakewood Ranch Imaging Center

  • Body Imaging Physician
  • Bradenton, FL
  • NPI 1104839737
  NPD (past)
• Lakewood-Manatee Radiology Consultants

  • Radiology Clinic/Center
  • Bradenton, FL
  • NPI 1386689834
  NPD (past)
• Seaside Radiology Consultants PA

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
  • NPI 1568453892
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1194700823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380877",
            "city": "MURDOCK",
            "state": "FL",
            "postal_code": "339380877",
            "telephone_number": "941-979-5200",
            "fax_number": "941-979-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 MANASOTA KEY RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342239253",
            "telephone_number": "410-571-0350",
            "fax_number": "410-571-7069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2706 SE SANTA BARBARA PL",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33904",
            "country_code": "US",
            "telephone_number": "239-471-0721",
            "fax_number": "239-471-0732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2811 Tamiami Trl Ste Q",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339525135",
            "country_code": "US",
            "telephone_number": "941-979-5200",
            "fax_number": "941-979-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Defense Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017044",
            "country_code": "US",
            "telephone_number": "410-571-0350",
            "fax_number": "410-571-7069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "STEPHEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD,PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC8516",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "PMC1621",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "PMC1664",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "FL",
            "license": "PMC1756",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME75401L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262392700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC PERMIT",
            "identifier": "4213",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN MANAGEMENT",
            "identifier": "PMC1664",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PERSONAL PTAN",
            "identifier": "35702L",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN MANAGEMENT",
            "identifier": "PMC1756",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN SAR PAIN INSTITUTE LLC",
            "identifier": "FK751A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "150492200863",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA RX FOR IMAGING",
            "identifier": "HCC8516",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX FOR IMAGING MEDICARE",
            "identifier": "CO744",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "213119",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN MANAGEMENT CLINIC",
            "identifier": "PMC1148",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V2822",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN MANAGEMENT",
            "identifier": "PMC1621",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald John Heromin M.D.,P.a.
• Corine Rootz, COTA/L
• Hector Rosa, MD
• Colleen M Ross, APRN
• Jeannette D Ross, LCSW
• Candace Lorraine Rudzinski, LMSW
• Erick Rumold
• Kathleen Russo, ARNP
• Norma Iris Sanchez, P.T.
• Sante'Wave Wellness and Aesthetics

• Vascular & Interventional Radiology Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.