Provider Demographics
NPI:1972532489
Name:SCHURLKNIGHT, STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:SCHURLKNIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 HIGH GATE DR
Mailing Address - Street 2:UNIT 1524
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-4456
Mailing Address - Country:US
Mailing Address - Phone:941-375-1526
Mailing Address - Fax:
Practice Address - Street 1:9550 HIGH GATE DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-4456
Practice Address - Country:US
Practice Address - Phone:941-375-1526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48298207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01482OtherBCBS FL
FL043797200Medicaid
FL050076174Medicare PIN
FL050076175Medicare PIN
FL01482UMedicare PIN
FL01482ZMedicare PIN
FL01482QMedicare PIN
FL01482OtherBCBS FL
FL01482TMedicare PIN
FL01482WMedicare PIN
FL01482XMedicare PIN
FL01482YMedicare PIN
FL01482SMedicare PIN
FL01482RMedicare PIN
FLD50162Medicare UPIN