Organization Active NPI

Scott M Stengel MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Leesburg, FL
National Provider Identifier
1285893065
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME61419 Issued in FL
Legal business name
SCOTT M STENGEL MD PA
Practice address
1112 W Dixie Ave
Leesburg, FL 34748-6312
Phone
(352) 728-5857
Fax
(352) 728-6734
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Scott M Stengel, MDNPI 1891870655
Title
President
Phone
(352) 728-5857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X ME61419 FL Primary

Addresses

Primary practice location

1112 W Dixie Ave
Leesburg, FL 34748-6312

Mailing address

1112 W Dixie Ave
Leesburg, FL 34748-6312
Phone (352) 728-5857

Other identifiers 1

IdentifierTypeStateIssuer
27892OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050131000000 FL Part B Supplier - Clinic/Group Practice 3870543903 Receives reassigned benefits from 1 practitioner
Practice locations: Leesburg, FL

National Provider Directory

National Provider Directory

Locations

1112 W Dixie Ave
Leesburg, FL 34748
Phone (352) 728-5857

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1285893065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486312",
            "telephone_number": "352-728-5857",
            "fax_number": "352-728-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486312",
            "telephone_number": "352-728-5857",
            "fax_number": "352-728-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M STENGEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "STENGEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-728-5857",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME61419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27892",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.