Lorne Shane Stitsky, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0007755 Issued in FL

Practice address

4601 Military TRL
Suite 209
Jupiter, FL 33458-4834

Phone

(561) 779-1520

Fax

(561) 691-9624

NPI assigned

Jan 19, 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

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lstitsky20956@jupitermedicalcenter.direct-ci.com

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.

• Personal Choice Family Practice Inc.

  • Family Medicine Physician
  • Jupiter, FL
  • NPI 1689726259
  Medicare reassignment NPD Authorized official
• Western Communities Family Practice Assoc Inc

  • Family Medicine Physician
  • Wellington, FL
  • NPI 1043271596
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1700866209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY ONE",
            "address_2": "SUITE 210",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-626-9821",
            "fax_number": "561-626-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL",
            "address_2": "SUITE 209",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584834",
            "telephone_number": "561-779-1520",
            "fax_number": "561-691-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITSKY",
        "first_name": "LORNE",
        "middle_name": "SHANE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0007755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49233",
            "state": "FM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rondell Stevens
• Meaghan Stewart, MS
• Ricky L Stewart, P.A.
• Simone Odetta Stewart, AANP
• Kristen Elizabeth Stilley
• Jyothi Stoll, OTR
• Sondra G Stollak, RPT
• Marshall M Stone, M.D,
• Shaheed Malik Stone, CRNA
• Alexandra Storey

• Family Medicine Physician in Jupiter, FL
• Providers in Jupiter, 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 6, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.