GARY SHIDEL


Address: 9470 Healthpark Cir, Fort Myers, FL 33908-3600
Phone: 2394824673

GARY SHIDEL (NPI# 1477523694) 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) 1477523694
Entity Type Individual
Full Name GARY SHIDEL
Credential A.R.N.P.
Practice Address 9470 Healthpark Cir
Fort Myers
FL 33908-3600
Practice Telephone 2394824673
Practice Fax Number 2394827298
Mailing Telephone 2394824673
Mailing Fax Number 2394827298
Enumeration Date 2006-01-23
Last Update Date 2008-04-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARP1955972 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 087535000 05

Office Location

Street Address 9470 HEALTHPARK CIR
City FORT MYERS
State FL
Zip Code 33908-3600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790755932 Hope Hospice and Community Services Inc Hospice Care, Community Based 9470 Healthpark Cir, Fort Myers, FL 33908-3600 2006-01-23
1306499124 Elizabeth Ann Pinder Social Worker 9470 Healthpark Cir, Fort Myers, FL 33908-3600 2019-07-21
1750764775 Doreen Kline Nurse Practitioner 9470 Healthpark Cir, Fort Myers, FL 33908-3600 2015-07-08
1407281017 Angela Rachelle Snodgrass Nurse Practitioner 9470 Healthpark Cir, Fort Myers, FL 33908-3600 2013-09-13
1851724207 Jean Diane Kanter Registered Nurse 9470 Healthpark Cir, Fort Myers, FL 33908-3600 2013-08-20
1174874853 Kalliope M. Morrell Nurse Practitioner 9470 Healthpark Cir, Fort Myers, FL 33908-3600 2012-09-21
1477829265 Terri S Ehmann Social Worker 9470 Healthpark Cir, Fort Myers, FL 33908-3600 2012-03-27
1417223207 Debra Killackey Social Worker 9470 Healthpark Cir, Fort Myers, FL 33908-3600 2012-03-27
1780950576 Toni H Marzella Social Worker 9470 Healthpark Cir, Fort Myers, FL 33908-3600 2012-03-27
1992071781 Carol Fuechsel Social Worker 9470 Healthpark Cir, Fort Myers, FL 33908-3600 2012-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760081806 1 Recovery Community/Behavioral Health 111 Daniels Dr, Fort Myers, FL 33908 2020-10-20
1457916462 Avipharm, LLC Pharmacy 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 2019-05-06
1013492289 Craig M Stein Pharmacist 15236 Tropic Bird Court, Fort Myers, FL 33908 2018-10-03
1730665167 Kyndra Lynn Petrick Psychiatry & Neurology 8560 Big Mangrove Dr, Fort Myers, FL 33908 2018-07-18
1447757547 Douglas L Jarrett Nurse Practitioner 16261 Bass Rd Suite 300, Fort Myers, FL 33908 2018-04-06
1447754825 Luis Daniel Ramos General Practice 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 2018-03-21
1619497062 Vanesa Paola Vaquer Dentist 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 2017-06-26
1962859603 Teresa Ruiz Behavior Technician 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 2016-05-23
1669865721 Elena B. Alexiev Dentist 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 2015-03-13
1134488919 Cecelia Anne Collins Dietitian, Registered 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 2012-05-14
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093330714 Renuka Jackson Nurse Practitioner 6150 Diamond Centre Ct Unit 100, Fort Myers, FL 33912-4367 2020-06-09
1386101798 Debra Lee Sicilian Nurse Practitioner 2327 Jeffcott St, Fort Myers, FL 33901-5211 2019-02-22
1619452877 Kamila Shurii Tursi Nurse Practitioner 6631 Orion Dr Ste 110, Fort Myers, FL 33912-4333 2018-10-03
1003396714 Carmalee Martin Nurse Practitioner 9341 Via San Giovani St, Fort Myers, FL 33905-5564 2018-08-21
1740779701 Dedra Dawn Coop Nurse Practitioner 13300 S Cleveland Ave Ste 56, Fort Myers, FL 33907-3871 2018-05-05
1073039087 Ruth Milien Jonathas Nurse Practitioner 16420 Healthpark Commons Dr Ste 100, Fort Myers, FL 33908-9621 2017-08-21
1396283578 Jerry Hernandez Sr. Nurse Practitioner 12731 World Plaza Ln Bldg 83, Fort Myers, FL 33907-4081 2017-02-07
1730622598 Valerie Starnes Nurse Practitioner 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 2016-11-28
1942752134 Lauren Chandler Masters Nurse Practitioner 14300 Riva Del Lago Dr Apt 704, Fort Myers, FL 33907-7804 2016-11-04
1467706192 Kerry Spillane Nurse Practitioner 9981 S. Healthpark Dr, Fort Myers, FL 33908-3618 2012-11-02
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Competitor

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City FORT MYERS
Zip Code 33908

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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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