DR. EDWARD J KILLEEN (NPI# 1376578336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376578336 |
| Entity Type | Individual |
| Full Name | DR. EDWARD J KILLEEN |
| Credential | M.D. |
| Practice Address |
2789 Ortiz Ave Fort Myers FL 33905-7806 |
| Practice Telephone | 2392753222 |
| Mailing Telephone | 2392753222 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
203612 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
ME 58216 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336430321 | Edward Killeen | Counselor | 7700 Clayton Rd, Suite 303, Saint Louis, MO 63117-1328 | 2011-04-25 |
| Street Address |
2789 ORTIZ AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851377402 | Debra Marie Danley | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2005-12-15 |
| 1043822109 | Bridget Gilmore | Counselor | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-08-20 |
| 1104452465 | Marcela Checa | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-19 |
| 1982230371 | Johanna Mulvihill | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-17 |
| 1407480270 | Tatiana Chang | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1821622630 | Vanessa Mcnair | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1316571177 | Elizabeth Ann Ireland | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1780222125 | Melissa N Rodriguez | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-12-17 |
| 1588202352 | Heather Elizabeth Mossotti | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-12-12 |
| 1528604287 | Jean Patton | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-11-18 |
| Find all providers in the same location | ||||
| 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 | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982613550 | Vijaya L Ravindran | Psychiatry & Neurology | 3033 Winkler Avenue Ext, Va Opc, Fort Myers, FL 33916-9413 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205290 | Slrc Miami Medical LLC | Psychiatry & Neurology | 601 Brickell Key Dr, Miami, FL 33131-2662 | 2020-11-03 |
| 1225674849 | Slrc Jacksonville LLC | Psychiatry & Neurology | 14286 Beach Blvd Ste 118, Jacksonville, FL 32250-1561 | 2019-11-19 |
| 1790248466 | Waves of Wellness | Psychiatry & Neurology | 10 Se Central Pkwy Ste 225, Stuart, FL 34994-5920 | 2019-04-10 |
| 1548753718 | Good Health Outcomes, Inc. | Psychiatry & Neurology | 1200 4th St Ste 308, Key West, FL 33040-3763 | 2018-06-12 |
| 1013374354 | New Horizons Mental Health LLC | Psychiatry & Neurology | 12130 Cortez Blvd, Brooksville, FL 34613-5575 | 2016-01-18 |
| 1174913958 | Lee County Associates In Psychiatry | Psychiatry & Neurology | 1303 Homestead Rd N Ste 103, Lehigh Acres, FL 33936-6049 | 2015-01-30 |
| 1558609156 | Milagros C. Pescador | Psychiatry & Neurology | 5208 Touraine Dr, Tallahassee, FL 32308-5934 | 2013-01-17 |
| 1992063002 | Marilyn Horvath Md Pa | Psychiatry & Neurology | 4317 Sw 186th Ave, Miramar, FL 33029-2772 | 2012-04-26 |
| 1295044873 | Kelly L Dunn Md Pa | Psychiatry & Neurology | 1696 W Hibiscus Blvd Ste A, Melbourne, FL 32901-2638 | 2010-09-30 |
| 1083928527 | Gerocare Consulting LLC | Psychiatry & Neurology | 17332 Garden Heath Ct, Land O Lakes, FL 34638-8089 | 2010-07-26 |
| Find all providers with the same taxonomy | ||||
| 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.