Organization Active NPI

Sharon a. Stokes MD PA

  • Dermatology Physician
  • Kissimmee, FL
National Provider Identifier
1710173661
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME77654 Issued in FL
Legal business name
SHARON A. STOKES MD PA
Practice address
3276 Greenwald Way N
Kissimmee, FL 34741-0728
Phone
(407) 944-0999
Fax
(407) 935-0691
NPI assigned
Sep 24, 2007
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Dr. Sharon A Stokes, MDNPI 1114939709
Title
President
Phone
(407) 944-0999

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
Dermatology Physician 207N00000X ME77654 FL Primary

Addresses

Primary practice location

3276 Greenwald Way N
Kissimmee, FL 34741-0728

Mailing address

3276 Greenwald Way N
Kissimmee, FL 34741-0728
Phone (407) 944-0999

Other identifiers 4

IdentifierTypeStateIssuer
46202YOtherFLMEDICARE INDIVIDUAL #
E2888WOtherFLMEDICARE INDIVIDUAL #
S87134OtherFLUPIN
G91555OtherFLUPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060405000360 FL Part B Supplier - Clinic/Group Practice 7315955184 Receives reassigned benefits from 3 practitioners
Practice locations: Kissimmee, FL; Windermere, FL

National Provider Directory

National Provider Directory

Locations

3276 Greenwald Way N
Kissimmee, FL 34741
Phone (407) 944-0999

903 N Central Ave
Kissimmee, FL 34741
Phone (407) 705-5100

7798 Winter Garden Vineland Rd
Ste 100
Windermere, FL 34786
Phone (407) 876-0994

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1710173661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3276 GREENWALD WAY N",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410728",
            "telephone_number": "407-944-0999",
            "fax_number": "407-935-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3276 GREENWALD WAY N",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410728",
            "telephone_number": "407-944-0999",
            "fax_number": "407-935-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON A. STOKES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-944-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME77654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL #",
            "identifier": "46202Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL #",
            "identifier": "E2888W",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "S87134",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G91555",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.