Stephen Leo Raben, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME164802 Issued in FL

Practice address

9722 Commerce Center Court
Fort Myers, FL 33908-3607

Phone

(239) 415-1111

Fax

(239) 415-1199

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

Yes

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

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

Practice roles

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.

• Gary M. Price, MD, Facp, PA

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1063747756
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1649228990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 COMMERCE CENTER COURT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083607",
            "telephone_number": "239-415-1111",
            "fax_number": "239-415-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9722 COMMERCE CENTER COURT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083607",
            "telephone_number": "239-415-1111",
            "fax_number": "239-415-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABEN",
        "first_name": "STEPHEN",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-02-08",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036085055",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME164802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085055",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R Paul Liccini MD LLC
• R Thad Goodwin MD PA
• R.C.F Home Health Care Agency, LLC
• Eric Raab, D.O.
• Robert Raab, M-CAP
• Marc Anthony Rabideau, D.M.D.
• Rita Lusinete Rabitt, ARNP
• Rachel Stewart, LMHC, P.a. (Thrive Therapy)
• Marieme Racine
• Brenda Thompson Rackham, LPN

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, 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 Feb 8, 2024; 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.