Stephen Charles Romagnolo, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME91099 Issued in FL

Practice address

6824 Suwannee Plaza LN
PMB 173
Live Oak, FL 32060-7495

Phone

(813) 416-7888

NPI assigned

Sep 12, 2006

Last updated

Sep 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Stephen C. Romagnolo, M.D., L.L.C.

  • Dermatology Physician
  • Live Oak, FL
  • NPI 1366611436
  Authorized official Same address or phone
• Center for Dermatology and Skin Surgery Inc

  • Dermatology Physician
  • Tampa, FL
  • NPI 1558448522
  NPD (past)
• Benedetto Dermatology,LLC

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1811938863
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1376647024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 SUWANNEE PLAZA LN",
            "address_2": "PMB 173",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320607495",
            "telephone_number": "813-416-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 SUWANNEE PLAZA LN",
            "address_2": "PMB 173",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320607495",
            "telephone_number": "813-416-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAGNOLO",
        "first_name": "STEPHEN",
        "middle_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME91099",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME91099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271046300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherie Donley Richey, PHARM D
• Lorrie Rivera
• Riverbend Midwifery, LLC
• Patricia Robinson
• Teri Roessler-Kennedy, APRN / PMHNP
• Heather Dee Romano, ARNP
• Eduardo Gustavo Romero, M.D.
• Rural Urgent Care LLC (MainStreet Family Care)
• Yoira Sanchez, APRN
• Frederick Sanders, RPH, CPH

• Dermatology Physician in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.