Steven Daniel Podnos, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Rockledge, FL
NPI 1821026345 · NPPES record last updated Aug 15, 2016
Key facts
- NPI
- 1821026345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- ME44057 (FL)
- Practice address
- 103 Longwood Ave
Rockledge, FL 32955-2827 - Phone
- (321) 631-5677
- Fax
- (321) 632-7225
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100318000796 | FL | Practitioner - Pulmonary Disease |
0446214944 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME44057 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| Select Specialty Hospital Gainesville LLC | Current |
Accepting new patients | |
| Select Specialty Hospital Gainesville LLC | Internal Medicine | Current |
Accepting new patients |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Internal Medicine | Past | Accepting new patients |
| Brevard Pulmonary Specialists PA | Pulmonary Disease | Past |
Accepting new patients |
Locations
2708 SW Archer Rd
Gainesville, FL 32608
Phone (352) 337-3240
1600 SW Archer Rd
Fl 5
Gainesville, FL 32610
Phone (352) 265-0055
255 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 338-7885
103 Longwood Ave
Rockledge, FL 32955
Phone (321) 631-5677
8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME44057 | FL | Yes |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME44057 | FL | |
| Internal Medicine Physician | 207R00000X | ME44057 | FL |
Addresses
Primary practice location
103 Longwood Ave
Rockledge, FL 32955-2827
Mailing address
PO Box 11406
Belfast, ME 04915-4005
Phone (321) 631-5677
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043277600 | Medicaid | FL |
Other providers in Rockledge, FL
- Danika Pivarnik
- Play for Real Therapy Services LLC
- Herbert P Pleiman Jr.
- Leah Plumblee
- Krzysztof B Podjaski
- Jennifer Polanco-Nieves
- Elizabeth Polomsky
- Eric Pomales
- Edwin S. Pont
- Melinda L Poole
All providers in Rockledge, FL · Pulmonary Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.