Active NPI
Croce Stephen Patti, M.D.
- Plastic and Reconstructive Surgery Physician
- Sarasota, FL
National Provider Identifier
1306859517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME70272
- Practice address
- 5731 Bee Ridge Rd
Sarasota, FL 34233-5056 - Phone
- (941) 342-1100
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME70272 | FL | Primary |
| Procedural Dermatology Physician | 207NS0135X | ME70272 | FL | |
| Plastic Surgery Physician | 208200000X | ME70272 | FL |
Addresses
Primary practice location
5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Mailing address
2820 Alliance Ave
Sarasota, FL 34231-5183
Phone (941) 266-4754
Other practice location 1
5664 Bee Ridge Rd
Ste 203
Sarasota, FL 34233-1504
Phone (941) 955-7546
Other names 1
- Dr. C Stephen Patti
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME70272 | FL | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simple Relief Wellness Centers LLC | Past | Accepting new patients | |
| C Stephen Patti MD PA | Procedural Dermatology | Past | Accepting new patients |
| Andre Renard MD PA | Plastic Surgery | Past | Accepting new patients |
| Whole Health Medical LLC | Procedural Dermatology | Past | Accepting new patients |
| Bridget J Keller MD LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Trauma Physician
- Sarasota, FL
- NPI 1689721045
Procedural Dermatology
-
- Plastic Surgery Physician
- Sarasota, FL
- NPI 1104137348
-
- Neurology Physician
- Sarasota, FL
- NPI 1295998714
-
dba Simple Relief Medical Centers
- Chiropractor
- Sarasota, FL
- NPI 1053454678
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1295857027
Procedural Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709942400000",
"number": "1306859517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 ALLIANCE AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342315183",
"telephone_number": "941-266-4754",
"fax_number": "904-372-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5731 BEE RIDGE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342335056",
"telephone_number": "941-342-1100"
}
],
"practiceLocations": [
{
"address_1": "5664 BEE RIDGE RD",
"address_2": "STE 203",
"address_purpose": "LOCATION",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342331504",
"country_code": "US",
"telephone_number": "941-955-7546",
"fax_number": "941-955-7507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTI",
"first_name": "CROCE",
"middle_name": "STEPHEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2024-03-09",
"certification_date": "2024-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME70272",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME70272",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME70272",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "C",
"last_name": "PATTI",
"middle_name": "STEPHEN",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.