Organization Active NPI

Steven a Visnaw DO PA

  • Surgery Physician
  • Brooksville, FL
National Provider Identifier
1750570792
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS9556 Issued in FL
Legal business name
STEVEN A VISNAW DO PA
Practice address
11373 Cortez Blvd
Suite 202
Brooksville, FL 34613-5414
Phone
(352) 796-2494
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Steven Austin Visnaw, DO
Title
General Surgeon
Phone
(352) 796-2494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X OS9556 FL Primary

Addresses

Primary practice location

11373 Cortez Blvd
Suite 202
Brooksville, FL 34613-5414

Mailing address

11373 Cortez Blvd
Suite 202
Brooksville, FL 34613-5414
Phone (352) 796-2494

Other identifiers 1

IdentifierTypeStateIssuer
274271300MedicaidFL

National Provider Directory

National Provider Directory

Locations

17220 Cortez Blvd
Brooksville, FL 34601
Phone (352) 597-3444

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1750570792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 202",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-796-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "SUITE 202",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-796-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A VISNAW DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "VISNAW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "352-796-2494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS9556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274271300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.