Ross, Stephen Mark
Ross, Stephen Mark is an sole proprietor health care provider with primary practice located at 2811 Tamiami Trl Ste Q , Port Charlotte FL 33952-5135. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Ambulatory Health Care Facilities / Pain, Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Pain is his primary health care specialty. Ross, Stephen Mark can be contacted via phone (941) 979-5200.Contact Information
Primary practice address
2811 Tamiami Trl Ste Q
Port Charlotte FL 33952-5135
Phone: (941) 979-5200
Fax: (941) 979-5201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME75401L | Florida |
| Ambulatory Health Care Facilities / Pain | 261QP3300X | PMC1621 | Florida |
| Ambulatory Health Care Facilities / Pain | 261QP3300X | PMC1664 | Florida |
| Ambulatory Health Care Facilities / Pain | 261QP3300X | Florida | |
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | HCC8516 | Florida |
| Ambulatory Health Care Facilities / Pain | 261QP3300X | PMC1756 | Florida |
Profile Details
| NPI number | 1194700823 |
|---|---|
| LBN Legal business name | Ross, Stephen Mark |
| Credentials | MD,PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194700823 | NPPES |
| Florida | Other | FK751A | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | PMC1756 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | 213119 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | MEDICAID | 262392700 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | HCC8516 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | PMC1664 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | 4213 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | CO744 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | V2822 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | 150492200863 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | PMC1621 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | 35702L | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
| Florida | Other | PMC1148 | MEDICARE PTAN SAR PAIN INSTITUTE LLC |
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