Stephen Petrofsky, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO000791 Issued in FL

Practice address

2525 Harbor Blvd
Suite 206
PT Charlotte, FL 33952-5342

Phone

(941) 625-3330

Fax

(941) 625-5753

NPI assigned

Apr 8, 2006

Last updated

Apr 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Stephen Petrofsky DPM PA

  • Durable Medical Equipment & Medical Supplies
  • PT Charlotte, FL
  • NPI 1063686756
  Authorized official Same address or phone

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1821051160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 206",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525342",
            "telephone_number": "941-625-3330",
            "fax_number": "941-625-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD",
            "address_2": "SUITE 206",
            "city": "PT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525342",
            "telephone_number": "941-625-3330",
            "fax_number": "941-625-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROFSKY",
        "first_name": "STEPHEN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO000791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace M Moran, MA, LMHC, CVRS
• Mua of Charlotte County LLC
• Navix Imaging Inc (SW Florida Regional Img Center - AMC)
• Navix Imaging Inc (SW Florida Regional Imaging Ctr MIC)
• Nurse on Call, LLC (HCA Florida Healthcare at Home)
• Karen V Ray, M.D
• Safe Spaces Corp
• Sandhill Medical Supply Inc.
• Arvind Sharma, MD
• Soca Imaging Inc (SW Florida Regional Imaging Center)

• Foot Surgery Podiatrist in PT Charlotte, FL
• Providers in PT Charlotte, FL by specialty
• Foot Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.