Active NPI
Charles P Stroble, MD
- Diagnostic Radiology Physician
- Destin, FL
National Provider Identifier
1487640702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME86615
- Practice address
- 9800 US Highway 98 W
Destin, FL 32550-4964 - Phone
- (850) 278-3555
- Fax
- (850) 278-3562
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME86615 | FL | Primary |
Addresses
Primary practice location
9800 US Highway 98 W
Destin, FL 32550-4964
Mailing address
PO Box 13024
Pensacola, FL 32591-3024
Phone (850) 435-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272337900 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Radiology Group, PA | Past | Accepting new patients | |
| Destin Regional Imaging Center LLC | Diagnostic Radiology | 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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Watersound, FL
- NPI 1538807656
-
- Clinical Medical Laboratory
- Ocean Springs, MS
- NPI 1205864857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487640702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13024",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325913024",
"telephone_number": "850-435-8300",
"fax_number": "850-435-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 US HIGHWAY 98 W",
"city": "DESTIN",
"state": "FL",
"postal_code": "325504964",
"telephone_number": "850-278-3555",
"fax_number": "850-278-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROBLE",
"first_name": "CHARLES",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME86615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272337900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.