NPIMap

Organization Active NPI

Stephen P. Moenning M.D., P.a.

  • Surgery Physician
  • Punta Gorda, FL
National Provider Identifier
1346279171
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
STEPHEN P. MOENNING M.D., P.A.
Practice address
610 E Olympia Ave
Suite 201
Punta Gorda, FL 33950-3875
Phone
(941) 639-4646
Fax
(941) 639-6545
NPI assigned
Jul 2, 2006
Last updated
Jan 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Stephen P. Moenning, M.D.
Title
Owner
Phone
(941) 639-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

610 E Olympia Ave
Suite 201
Punta Gorda, FL 33950-3875

Mailing address

610 E Olympia Ave
Suite 201
Punta Gorda, FL 33950-3875
Phone (941) 639-4646

Other identifiers 1

IdentifierTypeStateIssuer
271844800MedicaidFL

National Provider Directory

National Provider Directory

Locations

610 E Olympia Ave
Ste 201
Punta Gorda, FL 33950
Phone (941) 639-4646

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1346279171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E OLYMPIA AVE",
            "address_2": "SUITE 201",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503875",
            "telephone_number": "941-639-4646",
            "fax_number": "941-639-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E OLYMPIA AVE",
            "address_2": "SUITE 201",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503875",
            "telephone_number": "941-639-4646",
            "fax_number": "941-639-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P. MOENNING M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "MOENNING",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-639-4646",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271844800",
            "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 Jan 22, 2014; 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.