Individual provider Active NPI

Croce Stephen Patti, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Sarasota, FL
National Provider Identifier
1306859517
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME70272 Issued in FL
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

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
ME70272FLMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simple Relief Wellness Centers LLC PastSince Mar 7, 2021 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 PastSince Apr 8, 2007 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.

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.

Verify at the official NPI Registry.