Angela H Schupp, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME161920 Issued in FL

Practice address

900 Pine St Unit 216-217
Englewood, FL 34223-4418

Phone

(941) 474-5093

NPI assigned

Aug 31, 2011

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Englewood Pediatrics, P.a.

  • Pediatrics Physician
  • Englewood, FL
  • NPI 1356470744
  NPD (past)
• SSM St. Mary's Health Center

  • Rehabilitation Hospital Unit
  • Saint Louis, MO
  • NPI 1497937213
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1801177159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PINE ST UNIT 216-217",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234418",
            "telephone_number": "941-474-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PINE ST UNIT 216-217",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234418",
            "telephone_number": "941-474-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUPP",
        "first_name": "ANGELA",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME161920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Iris Sanchez, P.T.
• Sante'Wave Wellness and Aesthetics
• David Schenck, MD
• Diana Lilliann Schmitt
• Ashley Nicole Schmittendorf, RBT
• Schwartz Physical Therapy LLC (Restore Physical Therapy)
• Eric Bryan Schwartz, MPT
• Seastar Counseling Services, PLLC
• Skylar Jane Sellitti
• Kyra Senchyshak, DMD

• Pediatrics Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.