MARK A. MINTZ (NPI# 1053386342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053386342 |
| Entity Type | Individual |
| Full Name | MARK A. MINTZ |
| Credential | MD |
| Practice Address |
507 Del Prado Boulevard Cape Coral FL 33990 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 2397720500 |
| Practice Fax Number | 2397723076 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2016-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME0031596 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AMERIGROUP PROVIDER NUM. | 202216 | 01 |
| FL | OP. ENGIN. PROVIDER # | 68175 | 01 |
| FL | FIRST HLTH/CCN PROVIDER # | 709333 | 01 |
| FL | WELLCARE | 1193412 | 01 |
| FL | AETNA PROVIDER NUMBER | 4197070 | 01 |
| FL | USA MNGD. CR. PROVIDER # | 256184 | 01 |
| FL | AVMED PROVIDER NUMBER | 277536 | 01 |
| FL | BCBS PROVIDER NUMBER | 79302 | 01 |
| FL | METCARE PROVIDER NUMBER | ME0031596 | 01 |
| FL | CIGNA PROVIDER NUMBER | 1262065-010 | 01 |
| FL | 038588300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258450 | Mark Mintz | Psychiatry & Neurology | 1001 Laurel Oak Rd, Suite E-2, Voorhees, NJ 08043-3506 | 2006-01-03 |
| Street Address |
507 DEL PRADO BOULEVARD |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1386259208 | Hope of Life Medical Supply Corp | Durable Medical Equipment & Medical Supplies | 2328 Hancock Bridge Pkwy 1st Fl Ste 114-e, Cape Coral, FL 33990 | 2020-09-09 |
| 1669001814 | Jamie Lindon Kohl | Specialist/Technologist | 605 Se 13th Ct, Cape Coral, FL 33990 | 2020-04-08 |
| 1548809551 | Medical Risk Solutions | Family Medicine | 1020 Cultural Park Blvd, Cottage #7, Cape Coral, FL 33990 | 2019-12-23 |
| 1013495175 | Sunshine Assisted Living Home Care Facility. | Assisted Living Facility | 1422 Se 23rd Ter., Crape Coral, FL 33990 | 2018-08-01 |
| 1215429279 | Five Star Homecare LLC | Adult Companion | 629 Se 10th Pl, Cape Coral, FL 33990 | 2018-06-05 |
| 1730679192 | Amanda Tiana Bright | Developmental Therapist | 1507 Se 18th St, Cape Coral, FL 33990 | 2018-05-11 |
| 1487170908 | Natalie Diaz | Behavior Technician | 317 Se 16th Place, Cape Coral, FL 33990 | 2017-08-16 |
| 1679097273 | Centro Medico LLC | Clinic/Center | 1425 Viscaya Pkwy Ste 101, Cape Coral, FL 33990 | 2017-07-26 |
| 1629506308 | Besties LLC | Adult Companion | 518 Se 20th Ct, Cape Coral, FL 33990 | 2017-05-25 |
| Find all providers in zip 33990 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174915748 | Genesiscare Usa of Florida LLC | Urology | 2721 Del Prado Blvd S Ste 230b, Cape Coral, FL 33904-5993 | 2015-02-19 |
| 1386647535 | Ronald David Castellanos | Urology | 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | 2005-05-23 |
| 1164953212 | Urology Associates of Southwest Florida Pl | Urology | 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | 2017-03-21 |
| 1093971467 | Blake Joseph Evans | Urology | 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | 2008-08-05 |
| 1225074115 | 21st Century Oncology LLC | Urology | 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | 2006-06-21 |
| 1528033537 | Michael G. Strickland | Urology | 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | 2006-02-22 |
| 1609841618 | William P. Evans | Urology | 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | 2006-02-22 |
| 1417922428 | James D Borden | Urology | 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | 2006-02-22 |
| 1649245036 | Paul R. Bretton | Urology | 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | 2006-02-21 |
| 1992770283 | Jasper J. Rizzo | Urology | 507 Del Prado Blvd S, Cape Coral, FL 33990-2618 | 2006-02-21 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33990 |
Please comment or provide details below to improve the information on MARK A. MINTZ.
| 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.