Individual provider Active NPI

Samuel Viloria Estepa, M.D.

  • Family Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1346261377
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0049989 Issued in FL
Practice address
713 E Marion Ave
Ste 141
Punta Gorda, FL 33950-3863
Phone
(941) 205-3200
Fax
(941) 639-7576
NPI assigned
Jul 23, 2006
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0049989 FL Primary

Addresses

Primary practice location

713 E Marion Ave
Ste 141
Punta Gorda, FL 33950-3863

Mailing address

713 E Marion Ave
Ste 141
Punta Gorda, FL 33950-3863
Phone (941) 205-3200

Other identifiers 1

IdentifierTypeStateIssuer
0472239-00MedicaidFL

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
ME0049989FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Charlotte County, PA Family Medicine Past Accepting new patients
Nutegra Mental Health and Nutrition Inc Past Accepting new patients

Organizations & group practices 2

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1346261377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E MARION AVE",
            "address_2": "STE 141",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503863",
            "telephone_number": "941-205-3200",
            "fax_number": "941-639-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E MARION AVE",
            "address_2": "STE 141",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503863",
            "telephone_number": "941-205-3200",
            "fax_number": "941-639-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEPA",
        "first_name": "SAMUEL",
        "middle_name": "VILORIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0049989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0472239-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.