Steven John Stoltzenberg, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9114681 Issued in FL

Practice address

903 W Oak St.
Kissimmee, FL 34741-4941

Phone

(407) 846-4000

Fax

(407) 846-4808

NPI assigned

Apr 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Asthma Allergy & Immunology PA

  • Allergy & Immunology Physician
  • Kissimmee, FL
  • NPI 1285821124
  Medicare reassignment
• Asthma Allergy and Immunology

  • Allergy & Immunology Physician
  • Kissimmee, FL
  • NPI 1083097737
  NPD (past)

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1972913986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 FIELDCREST LANE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552559",
            "telephone_number": "732-804-8573",
            "fax_number": "718-981-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W OAK ST.",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414941",
            "telephone_number": "407-846-4000",
            "fax_number": "407-846-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTZENBERG",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017824",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114681",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00399500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Stilley Sr., PT
• Heather Stinson, B.S.
• Francky Stlot
• Ryan Stockard
• Sharon A Stokes, M.D.
• Eden Stone
• Pamela Sue Stone, OTRL
• Sarah Stone
• Stonebridge Health Care
• Ashley Marie Stoner, LMHC

• Physician Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.