Active NPI
Gastroenterology Specialists of Southwest Florida PA
- Anatomic Pathology & Clinical Pathology Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277871800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0942902 | Gastroenterology Specialists of | Compliance | Jan 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Peoria, IL
- NPI 1508845603
Anatomic Pathology & Clinical Pathology, FL
-
- Anatomic Pathology & Clinical Pathology Physician
- Naples, FL
- NPI 1669446837
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Omaha, NE
- NPI 1588110555
Anatomic Pathology & Clinical Pathology
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.