DR. CURTIS E STORY JR. (NPI# 1912125451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912125451 |
| Entity Type | Individual |
| Full Name | DR. CURTIS E STORY JR. |
| Credential | M.D. |
| Practice Address |
17912 Toledo Blade Blvd Ste A Port Charlotte FL 33948-1021 |
| Mailing Address |
9048 Falcon Ct Venice FL 34293-7631 |
| Practice Telephone | 9418759059 |
| Practice Fax Number | 9412062066 |
| Mailing Telephone | 9418759059 |
| Mailing Fax Number | 9412062066 |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME106893 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBSFL | 148NB | 01 |
| FL | MEDICAL LICENSE | ME106893 | 01 |
| Street Address |
17912 TOLEDO BLADE BLVD STE A |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150048 | Mario E Carbonell | Internal Medicine | 17912 Toledo Blade Blvd Ste A, Port Charlotte, FL 33948-1042 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316344856 | Roger Anthony Dreyling | Family Medicine | 2511 Pebble Creek Pl, Port Charlotte, FL 33948-1684 | 2014-11-27 |
| 1346669025 | Gerdie Jean-smith | Family Medicine | 3450 Rowland Dr, Port Charlotte, FL 33980-2284 | 2014-04-10 |
| 1801230248 | Hassan Albassam | Family Medicine | 1777 Tamiami Trail, Suite 303, Office 11, Port Charlotte, FL 33948-3394 | 2013-04-27 |
| 1821358607 | Story Family Medicine | Family Medicine | 17912 Toledo Blade Blvd, Ste A, Port Charlotte, FL 33948-1042 | 2012-05-25 |
| 1003124322 | Carlton R. Vollberg M D P A | Family Medicine | 2852 Tamiami Trl Ste 6, Port Charlotte, FL 33952-5100 | 2010-09-21 |
| 1689985541 | Elizabeth A Triana Md Pa | Family Medicine | 3155 Harbor Blvd, Ste. 100, Port Charlotte, FL 33952-6750 | 2010-06-25 |
| 1548466519 | Joseph Ravid | Family Medicine | 21942 Edgewater Dr, Port Charlotte, FL 33952-9723 | 2007-06-26 |
| 1952514283 | Pascal P Bordy | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-05-07 |
| 1801977129 | Stephanie J Shell | Family Medicine | 21300 Gertrude Ave, Suite 1, Port Charlotte, FL 33952-5018 | 2006-10-17 |
| 1811929466 | Elizabeth Alice Triana | Family Medicine | 3155 Harbor Blvd Ste 100, Port Charlotte, FL 33952-6729 | 2006-07-06 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.