Individual provider Active NPI

Michael Fisher Steffan Sr., MD

  • Internal Medicine Physician
  • Boca Grande, FL
National Provider Identifier
1770583445
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 95958 Issued in FL
Practice address
320 Park Ave.
Boca Grande, FL 33921
Phone
(941) 964-2276
Fax
(941) 964-0158
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 95958 FL Primary

Addresses

Primary practice location

320 Park Ave.
Boca Grande, FL 33921

Mailing address

PO Box 517
320 Park Avenue
Boca Grande, FL 33921
Phone (941) 964-2276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 95958FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Group PLLC Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1770583445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "address_2": "320 PARK AVENUE",
            "city": "BOCA GRANDE",
            "state": "FL",
            "postal_code": "33921",
            "telephone_number": "941-964-2276",
            "fax_number": "941-964-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PARK AVE.",
            "city": "BOCA GRANDE",
            "state": "FL",
            "postal_code": "33921",
            "telephone_number": "941-964-2276",
            "fax_number": "941-964-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFAN",
        "first_name": "MICHAEL",
        "middle_name": "FISHER",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 95958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Grande, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.