Spago Medispa LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

SPAGO MEDISPA LLC

Practice address

201 W Marion Ave Unit 1314
Punta Gorda, FL 33950-4467

Phone

(941) 505-0888

Fax

(941) 505-0890

NPI assigned

Feb 12, 2015

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael G Stampar, DONPI 1902888217

Title

Owner

Phone

(941) 505-0888

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael Stampar, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Punta Gorda, FL
  • NPI 1902888217
  Authorized official Same address or phone

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1477944361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MARION AVE UNIT 1314",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504467",
            "telephone_number": "941-505-0888",
            "fax_number": "941-505-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MARION AVE UNIT 1314",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504467",
            "telephone_number": "941-505-0888",
            "fax_number": "941-505-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAGO MEDISPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "STAMPAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-505-0888",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology/Facial Plastic Surgery Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.