ANTHONY JOSEPH ANFUSO JR. (NPI# 1093957649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093957649 |
| Entity Type | Individual |
| Full Name | ANTHONY JOSEPH ANFUSO JR. |
| Practice Address |
4571 Colonial Blvd Suite 210 Fort Myers FL 33966-1156 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting and Relations Fort Myers FL 33907-1412 |
| Practice Telephone | 2393330772 |
| Practice Fax Number | 2392442049 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2016-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME118346 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | COVENTRY | 1566218 | 01 |
| FL | AVMED | 375100 | 01 |
| FL | FREEDOM | P1023983 | 01 |
| FL | BCBS | 14W4S | 01 |
| FL | AETNA | 4928705 | 01 |
| FL | CIGNA | 9280321 | 01 |
| FL | WELLCARE | 1035847 | 01 |
| FL | PRESTIGE HEALTH CHOICE | 75121240 | 01 |
| FL | RAILROAD MEDICARE | P01520280 | 01 |
| FL | 011848700 | 05 | |
| FL | OPTIMUM | P962129 | 01 |
| Street Address |
4571 COLONIAL BLVD SUITE 210 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33966-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713489 | Jacob H Goldberger | Surgery | 4571 Colonial Blvd, Suite 210, Fort Myers, FL 33966-1156 | 2005-07-11 |
| 1760963292 | Colonial Outpatient Surgery Center, LLC | Clinic/Center | 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 2018-08-23 |
| 1275917304 | 21st Century Oncology LLC | Urology | 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 2015-07-18 |
| 1528442332 | Genesiscare of Florida LLC | Otolaryngology | 4571 Colonial Blvd, Suite 210, Fort Myers, FL 33966-1156 | 2015-07-13 |
| 1306274063 | Mark Monzone | Physician Assistant | 4571 Colonial Blvd, Suite 210, Fort Myers, FL 33966-1156 | 2013-10-16 |
| 1588005383 | 21st Century Oncology LLC | Durable Medical Equipment & Medical Supplies | 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 2013-07-10 |
| 1700140878 | Specialists In Urology, P.a. | Urology | 4571 Colonial Blvd, Suite 200, Fort Myers, FL 33966-1156 | 2012-07-03 |
| 1912209800 | Specialists In Urology Surgery Center LLC | Clinic/Center | 4571 Colonial Blvd, Suite 200, Fort Myers, FL 33966 | 2010-11-26 |
| 1861707275 | Megan Lavender Menster | Nurse Practitioner | 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 2010-08-10 |
| 1124258983 | Meagan M Walton | Nurse Practitioner | 4571 Colonial Blvd, Suite 100, Fort Myers, FL 33966-1156 | 2009-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
| 1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| 1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
| 1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
| 1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
| 1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
| 1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
| 1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
| Find all providers in zip 33966 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407821879 | Phillip E Andrews | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2006-02-21 |
| 1720053101 | James H Fuller | Otolaryngology | 15761 New Hampshire Ct, Fort Myers, FL 33908-4176 | 2006-02-21 |
| 1922070887 | Jeff R Comer | Otolaryngology | 9738 Commerce Center Court, Fort Myers, FL 33908 | 2006-02-06 |
| 1154757904 | Genesiscare Usa of Florida LLC | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2013-09-24 |
| 1760734651 | Jeff R. Comer M.d. P.a. | Otolaryngology | 9738 Commerce Center Ct, Fort Myers, FL 33908-3670 | 2012-10-03 |
| 1083961320 | Chauchau Tu Pham | Otolaryngology | 9711 Commerce Center Ct, Suite 101, Fort Myers, FL 33908-3817 | 2012-08-06 |
| 1487913794 | Robert Walter Kopp II | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2012-05-07 |
| 1629334230 | John R Neiner | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2012-04-09 |
| 1730470899 | Justin T Casey | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2011-04-25 |
| 1801038070 | Scott Von Larson | Otolaryngology | 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 2009-04-02 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33966 |
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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.