Organization Active NPI

Gastroenterology Specialists of Southwest Florida PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Naples, FL
National Provider Identifier
1710102207
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
GASTROENTEROLOGY SPECIALISTS OF SOUTHWEST FLORIDA PA
Practice address
1656 Medical Blvd
Suite 301
Naples, FL 34110-1423
Phone
(239) 593-6201
Fax
(239) 593-6202
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Dr. Steven A Meckstroth, M.D.NPI 1073508123
Title
Owner
Phone
(239) 593-6201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1656 Medical Blvd
Suite 301
Naples, FL 34110-1423

Mailing address

1656 Medical Blvd
Suite 301
Naples, FL 34110-1423
Phone (239) 593-6201

Other identifiers 1

IdentifierTypeStateIssuer
277871800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050720000414 FL Part B Supplier - Clinic/Group Practice 0143257204 Receives reassigned benefits from 10 practitioners
Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0942902Gastroenterology Specialists of1656 Medical Blvd Ste 301, Naples, FL 34110ComplianceJan 25, 2027

National Provider Directory

National Provider Directory

Locations

28321 S Tamiami TRL
Ste 2
Bonita Springs, FL 34134
Phone (239) 593-6201

8340 Collier Blvd
Ste 2
Naples, FL 34114
Phone (239) 593-6201

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1710102207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 MEDICAL BLVD",
            "address_2": "SUITE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101423",
            "telephone_number": "239-593-6201",
            "fax_number": "239-593-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 MEDICAL BLVD",
            "address_2": "SUITE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101423",
            "telephone_number": "239-593-6201",
            "fax_number": "239-593-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY SPECIALISTS OF SOUTHWEST FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "MECKSTROTH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-593-6201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277871800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.