PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL (NPI# 1407161839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407161839 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL |
| Practice Address |
3046 Del Prado Blvd S Suite 2c-d Cape Coral FL 33904-7221 |
| Mailing Address |
13740 Cypress Terrace Cir Fort Myers FL 33907-8827 |
| Practice Telephone | 2395409111 |
| Practice Fax Number | 2395409192 |
| Mailing Telephone | 2392755522 |
| Mailing Fax Number | 2392754464 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | DR. MARY C YANKASKAS (PRESIDENT/MANAGING PHYSICIAN) |
| Authorized Official Telephone | 2392755522 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | 40398 | 01 |
| FL | 379245518 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699757633 | Physicians Primary Care of Southwest Florida Pl | Nurse Practitioner | 1265 Viscaya Pkwy, Cape Coral, FL 33990-3237 | 2005-11-16 |
| 1356336705 | Physicians Primary Care of Southwest Florida Pl | Internal Medicine | 12730 New Brittany Blvd Ste 200, Fort Myers, FL 33907-3646 | 2005-09-13 |
| 1902948607 | Physicians Primary Care of Southwest Florida Pl | Advanced Practice Midwife | 9021 Park Royal Dr, Fort Myers, FL 33908-9617 | 2007-02-12 |
| 1104968718 | Physicians Primary Care of Southwest Florida Pl | Advanced Practice Midwife | 3507 Lee Blvd, Suite 107, Lehigh Acres, FL 33971-1304 | 2007-02-12 |
| 1326021239 | Physicians Primary Care of Southwest Florida Pl | Nurse Practitioner | 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990-3252 | 2005-11-23 |
| 1205818879 | Physicians Primary Care of Southwest Florida Pl | Pediatrics | 5624 8th St W, Suite 108, Lehigh Acres, FL 33971-6304 | 2005-11-18 |
| 1740262799 | Physicians Primary Care of Southwest Florida Pl | Internal Medicine | 6160 Winkler Rd, Fort Myers, FL 33919-8179 | 2005-11-16 |
| 1790767747 | Physicians Primary Care of Southwest Florida Pl | Physician Assistant | 1501 Viscaya Pkwy, Cape Coral, FL 33990-6207 | 2005-11-16 |
| Street Address |
3046 DEL PRADO BLVD S SUITE 2C-D |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33904-7221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951054 | Babylove Midwifery Services | Clinic/Center | 3046 Del Prado Blvd S, #2e, Cape Coral, FL 33904-7221 | 2005-06-10 |
| 1720126360 | Jennifer Sy | Physical Therapist | 3046 Del Prado Blvd S, Ste 2-a, Cape Coral, FL 33904-7221 | 2007-02-04 |
| 1124040241 | Ta Taylor Enterprises, Inc | Family Medicine | 3046 Del Prado Blvd S, Suite 1a, Cape Coral, FL 33904-7221 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356835698 | Wendy Reyes Perez | Behavioral Analyst | 326 Se 31st St, Cape Coral, FL 33904 | 2018-06-20 |
| 1669923488 | Tcm Quality Services, Inc | Case Management | 2804 Del Prado Blvd, # 209 Suite 3, Cape Coral, FL 33904 | 2016-10-17 |
| 1851766471 | Malissa Maki | Social Worker | 3723a Delprado Blvd, Cape Coral, FL 33904 | 2015-12-08 |
| 1942688767 | Physicians Services and Rehab Inc | Physical Medicine & Rehabilitation | 506 Se 47th Terr Suite B, Cape Coral, FL 33904 | 2015-05-13 |
| 1790184356 | Rx Imaging of Swfl, LLC | Family Medicine | 506 Se 47th St Suite A, Cape Coral, FL 33904 | 2014-08-20 |
| 1508205634 | Brandy Williams | Counselor | 3723 A Del Prado Blvd S, Cape Coral, FL 33904 | 2013-06-21 |
| 1295002608 | Jcs Home Health, Inc. | Home Health | 1505 Se 40th St., Ste. C, Cape Coral, FL 33904 | 2011-11-30 |
| 1477835551 | Thomas Dare | Occupational Therapist | 4129 Se 2nd Ave., Cape Coral, FL 33904 | 2011-09-14 |
| 1134422173 | Michelle L Mandich | Massage Therapist | 3636 Del Prado Blvd S., Cape Coral, FL 33904 | 2010-12-14 |
| 1770807059 | Professional Nurses Registry | Nursing Care | 875 Se 47th Terr., Suite 1, Cape Coral, FL 33904 | 2010-03-16 |
| Find all providers in zip 33904 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053594291 | George Kovacevic,obgyn Inc | Obstetrics & Gynecology | 3046 Delprado Blvd S, Suite C and D, Cape Coral, FL 33904 | 2007-12-11 |
| 1821039884 | Ariel Figueredo | Obstetrics & Gynecology | 602 Se 16th Pl, Suite A, Cape Coral, FL 33990-1684 | 2006-06-09 |
| 1316934839 | Ronnie Frankel | Obstetrics & Gynecology | 650 Del Prado Blvd, Suite 106, Cape Coral, FL 33990-5617 | 2005-09-30 |
| 1770570475 | Dirk Peterson | Obstetrics & Gynecology | 650 Del Prado Blvd S Ste 100, Cape Coral, FL 33990 | 2005-09-29 |
| 1356701080 | Deidra Ann Duncan | Obstetrics & Gynecology | 1265 Viscaya Pkwy, Cape Coral, FL 33990-3237 | 2016-02-23 |
| 1104264332 | Rachel M Wykes | Obstetrics & Gynecology | 650 Del Prado Blvd S Ste 100, Cape Coral, FL 33990 | 2013-06-10 |
| 1932496023 | Nhi Thi-hong Phan | Obstetrics & Gynecology | 650 Del Prado Blvd S Ste 100, Cape Coral, FL 33990-5617 | 2011-07-08 |
| 1306135454 | Shannon Dale O'hara | Obstetrics & Gynecology | 1265 Viscaya Pkwy, Cape Coral, FL 33990-3237 | 2011-03-29 |
| 1841527504 | Chadwick S Leo | Obstetrics & Gynecology | 650 Del Prado Blvd S Ste 100, Cape Coral, FL 33990 | 2009-11-17 |
| 1346400306 | Sarina Cinco Lumapas | Obstetrics & Gynecology | 650 Del Prado Blvd S Ste 107, Cape Coral, FL 33990 | 2008-06-12 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33904 |
Please comment or provide details below to improve the information on PHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL.
| 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.