JODI ELLEN SPATHAROS


Address: 8350 Riverwalk Park Blvd, Suite 1, Fort Myers, FL 33919-8759
Phone: 2394825399

JODI ELLEN SPATHAROS (NPI# 1376889022) 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) 1376889022
Entity Type Individual
Full Name JODI ELLEN SPATHAROS
Other Name JODI ELLEN STEELMAN
Credential PA
Practice Address 8350 Riverwalk Park Blvd
Suite 1
Fort Myers
FL 33919-8759
Mailing Address 1478 Sunkist Way
Fort Myers
FL 33905-3117
Practice Telephone 2394825399
Practice Fax Number 2394824353
Mailing Telephone 2396416042
Enumeration Date 2012-12-28
Last Update Date 2016-08-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8350 RIVERWALK PARK BLVD
SUITE 1
City FORT MYERS
State FL
Zip Code 33919-8759

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912908823 John Sherwood Fifer Jr. Orthopaedic Surgery 8350 Riverwalk Park Blvd, Suite 1, Fort Myers, FL 33919-8759 2005-08-02
1487059002 Riverwalk Asc, LLC Clinic/Center 8350 Riverwalk Park Blvd, Suite 4, Fort Myers, FL 33919-8759 2014-10-24
1497157408 Claudia Janice Lucas Physician Assistant 8350 Riverwalk Park Blvd, Suite 1, Fort Myers, FL 33919-8759 2014-09-22
1770841793 Gulf-to-bay Anesthesiology Associates LLC Anesthesiology 8350 Riverwalk Park Blvd, Suite 4, Fort Myers, FL 33919-8759 2012-04-27
1215025010 Riverwalk Surgery Center, Inc Clinic/Center 8350 Riverwalk Park Blvd, Suite 4, Fort Myers, FL 33919-8759 2006-10-10
1033150636 Robert Andrew Follweiler Orthopaedic Surgery 8350 Riverwalk Park Blvd, Suite 1, Fort Myers, FL 33919-8759 2006-06-08
1003854514 P David Deleeuw, Md, Pa Anesthesiology 8350 Riverwalk Park Blvd, Suite 4, Fort Myers, FL 33919-8759 2006-06-04
1467404905 George Baker Physician Assistant 8350 Riverwalk Park Blvd, Suite 1, Fort Myers, FL 33919-8759 2006-05-16
1831179274 Matthew C. Walk Physician Assistant 8350 Riverwalk Park Blvd, Suite 1, Fort Myers, FL 33919-8759 2006-01-20
1598754822 Fifer & Heligman Md Pa Pain Medicine 8350 Riverwalk Park Blvd, Suite 1, Fort Myers, FL 33919-8759 2005-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073145942 Patricia June Briand Registered Nurse 4309 Mariner Way #307, Fort Myers, FL 33919 2020-02-10
1629556840 The Onyx Counseling Center, LLC Social Worker 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 2018-07-31
1366980187 My Precious Kids Therapy Center Inc Community/Behavioral Health 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 2017-02-01
1811342397 Kimberly Regenesis Substance Abuse Rehabilitation Facility 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 2016-05-03
1689030207 Balance for All, Inc. Acupuncturist 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 2016-01-12
1902275217 Kelly Jean Overton Physical Therapist 6341 Whiskey Creek Drive, Fort Myers, FL 33919 2015-09-16
1508125311 Charles Clark Dugan IIi Chiropractor 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 2012-05-14
1659641231 Dasha Bich Le Pharmacist 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 2012-01-12
1164792602 Gail Lee Rathbun Nurse Practitioner 6311 S. Pointe Blvd., Fort Meyers, FL 33919 2011-12-30
1871878173 Scott Kozlowski Behavioral Analyst 5335 Shalley Cir., Ft. Myers, FL 33919 2011-10-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629679360 Samantha Lee Zavada Physician Assistant 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 2020-11-07
1811597198 Alexis Thraen Physician Assistant 4536 Winkler Ave Apt 204, Fort Myers, FL 33966-7013 2020-10-27
1265065247 Marathon Health LLC Physician Assistant 1660 Electric Ln, Fort Myers, FL 33917-3946 2020-02-18
1710510813 Noshaba Khaliq Physician Assistant 17549 Cherry Ridge Ln, Fort Myers, FL 33967-5138 2020-02-17
1699307389 Colleen Mcgonagle Physician Assistant 12700 Creekside Ln Ste 101, Fort Myers, FL 33919-3356 2020-02-10
1922643238 Abigail Christine Reed Physician Assistant 16230 Summerlin Rd Ste 213-218, Fort Myers, FL 33908-5768 2019-11-11
1245899756 Aileen Fiallo Physician Assistant 4571 Colonial Blvd Ste 210, Fort Myers, FL 33966-1156 2019-06-08
1316422199 Angelia Lynette Sakyi-agyekum Physician Assistant 8291 Dani Dr Ste 101a, Fort Myers, FL 33966-8009 2018-09-27
1225547029 Irene Julian Physician Assistant 14090 Metropolis Ave Ste 102, Fort Myers, FL 33912-4451 2017-09-25
1134653827 Matthew Jeremy Blakemore Physician Assistant 6150 Diamond Centre Ct Ste 1300, Fort Myers, FL 33912-4367 2017-04-19
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Competitor

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City FORT MYERS
Zip Code 33919

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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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