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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | ME138861 | FL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
755 W Carmel Dr, Suite101, Carmel, IN 460325877 | 3178462396 | 3178461699 |
Street Address |
3268 FORUM BLVD STE 201 |
City | FORT MYERS |
State | FL |
Zip Code | 33905-5585 |
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 Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
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 |
City | FORT MYERS |
Zip Code | 33905 |
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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.