R. G. Stratt, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0074811 Issued in FL

Practice address

100 N Federal Hwy
Suite C-2
Ft Lauderdale, FL 33301-1129

Phone

(954) 765-1316

Fax

(954) 765-1461

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

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.

• Center for Advanced Wound Care LLC

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1053107946
  Medicare reassignment NPD
• R. G. Stratt, MD, PA

  dba BodyCare Center for Advanced Rejuvenation

  • Medical Specialty Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1790957215
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1538130281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N FEDERAL HWY",
            "address_2": "SUITE C-2",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011129",
            "telephone_number": "954-765-1316",
            "fax_number": "954-765-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N FEDERAL HWY",
            "address_2": "SUITE C-2",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011129",
            "telephone_number": "954-765-1316",
            "fax_number": "954-765-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATT",
        "first_name": "R. G.",
        "credential": "MD, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0074811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538130281",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Michele Stover, PSY.D.
• Shannon Stowe, OTR
• Lillian Stoyanovich, LCSW
• Juliet Strachan
• Sarah Strang, PHARMD
• Melinda Strauss
• Edwin Harvey Streiter, DDS
• Mary Elisa Strennen, PA-C
• Charles P. Strogen, MD
• Janon Claire Strom, PH.D.

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.