STEPHEN J SHIDELER


Address: 3268 Forum Blvd Ste 201, Fort Myers, FL 33905-5585
Phone: 2392321176

STEPHEN J SHIDELER (NPI# 1366422982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366422982
Entity Type Individual
Full Name STEPHEN J SHIDELER
Credential M.D.
Practice Address 3268 Forum Blvd Ste 201
Fort Myers
FL 33905-5585
Mailing Address 15051 S Tamiami Trl Ste 203
Fort Myers
FL 33908-5182
Practice Telephone 2392321176
Practice Fax Number 2392449839
Mailing Telephone 2394378810
Mailing Fax Number 2393132555
Enumeration Date 2006-01-19
Last Update Date 2020-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology ME138861 FL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
755 W Carmel Dr, Suite101, Carmel, IN 460325877 3178462396 3178461699

Office Location

Street Address 3268 FORUM BLVD STE 201
City FORT MYERS
State FL
Zip Code 33905-5585

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811476211 Lisa Nicole Campbell Nurse Practitioner 2850 Via Campania St, Fort Myers, FL 33905 2018-08-07
1538670260 Doctorguarin LLC Clinic/Center 3143 Antica St, Fort Myers, FL 33905 2017-10-20
1366828931 Dawn Bradley Arnp Pllc Nurse Practitioner 3056 Champion Ring Rd, Ft Myers, FL 33905 2015-08-06
1720480551 Yohana Pierre Villarroel Licensed Practical Nurse 2789 Ortiz Ave., Fort Myers, FL 33905 2014-09-24
1639592090 Hamprenate Service Case Manager/Care Coordinator 2789 Oritz Avenue, Fort Myere, FL 33905 2014-01-21
1255688743 Ronak B Patel Pharmacist 9365 Via Murano Ct, Fort Myers, FL 33905 2012-08-14
1477824852 Joseph Francis Kusiak Plastic Surgery 3320 Shady Bend, Fort Myers, FL 33905 2012-01-18
1336447838 Vicky Brooks Nurse Practitioner 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 2011-03-08
1790898666 Access Medical South, Lc Durable Medical Equipment & Medical Supplies 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 2006-08-16
1780691600 Arthur Lee Strauss Social Worker 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 2006-08-02
Find all providers in zip 33905

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033352695 Mary Frances Pilcher Dermatology 14071 Metropolis Ave, Fort Myers, FL 33912 2009-04-13
1518126192 Charles S Eby Md Pa Dermatology 2666 Swamp Cabbage Ct, Fort Myers, FL 33901-9332 2008-06-09
1730375460 Shirisha Rao Vallarapu Dermatology 13691 Metropolis Avenue, Fort Myers, FL 33912 2007-09-17
1366647562 Allison Jeanne Brown Dermatology 2621 Cleveland Ave., Fort Myers, FL 33901 2007-06-18
1790898864 Sherrie L Jones Dermatology 9090 Park Royal Dr, Fort Myers, FL 33908-9616 2006-08-15
1386686020 Debra D Fett Desmond Dermatology 14361 Metropolis Ave, Suite 2, Fort Myers, FL 33912-4453 2006-06-10
1255390985 Mark H. Kagen Dermatology 7331 Gladiolus Drive, Fort Myers, FL 33908 2006-03-21
1730173709 Florida Skin Center Inc Dermatology 13691 Metropolis Ave, Fort Myers, FL 33912-4318 2005-09-07
1760481840 Leonard Dean Cutler Dermatology 7310 College Pkwy, Fort Myers, FL 33907-5503 2005-07-20
1932107398 Nancy R Schleider Dermatology 13691 Metro Pkwy, Ste 420, Fort Myers, FL 33912-4327 2005-07-11
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33905

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Dataset Information

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.

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