PHILLIP WENDINGER (NPI# 1508490475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508490475 |
| Entity Type | Individual |
| Full Name | PHILLIP WENDINGER |
| Credential | APRN |
| Practice Address |
2776 Cleveland Ave Fort Myers FL 33901-5864 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393432606 |
| Practice Fax Number | 2393433695 |
| Mailing Telephone | 2393432606 |
| Mailing Fax Number | 2393433695 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | APRN11006262 | FL | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11006282 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 107113500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 Piper Blvd Ste 21, Naples, FL 341101385 | 2393252412 | 2393251630 |
| 6150 Diamond Centre Ct Unit 400, Fort Myers, FL 339124367 | 2393333345 | 2396728109 |
| Street Address |
2776 CLEVELAND AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185356 | Matthew Edward Meagher | Physician Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2005-06-28 |
| 1720695125 | Jessica Anne Tyler | Nurse Practitioner | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2020-09-29 |
| 1104455187 | Lee Memorial Health System | Pharmacy | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2020-04-02 |
| 1285278523 | Patricia Bernard | Nurse Practitioner | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-10-30 |
| 1477103927 | Jason Cotterill | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-17 |
| 1104476985 | Katelyn Van De Water | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-13 |
| 1013566264 | Felicia Taylor | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-10 |
| 1235788530 | Amanda Linzalone | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5855 | 2019-09-09 |
| 1316592694 | Scott Danek | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-08-05 |
| 1205399151 | Courtney Grace | Nurse Practitioner | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384154 | Melissa Connors | Nurse Practitioner | 15609 Fiddlesticks Blvd, Fort Myers, FL 33912-3902 | 2020-10-18 |
| 1982202412 | Amanda Shively | Nurse Practitioner | 7951 Reflection Cove Dr Apt 102, Fort Myers, FL 33907-6560 | 2020-10-16 |
| 1205433828 | Kenneth Midoneck | Nurse Practitioner | 4445 Kings Barn Ct Unit 305, Fort Myers, FL 33916-8031 | 2020-10-06 |
| 1881218246 | Miraleen Patel | Nurse Practitioner | 5710 Trailwinds Dr Apt 524, Fort Myers, FL 33907-8338 | 2020-06-02 |
| 1194350348 | Zuleima Lozada | Nurse Practitioner | 13691 Metro Pkwy Ste 110a, Fort Myers, FL 33912-4348 | 2020-03-09 |
| 1962034686 | Kathleen A Shelton | Nurse Practitioner | 9371 Cypress Lake Dr Ste 16, Fort Myers, FL 33919-4945 | 2020-02-11 |
| 1275173155 | Optimal Healing Healthcare Services, LLC | Nurse Practitioner | 10143 Chesapeake Bay Dr, Fort Myers, FL 33913-9184 | 2020-01-08 |
| 1033760731 | Jaclyn Mason | Nurse Practitioner | 18431 Hawthorne Rd, Fort Myers, FL 33967-3276 | 2019-09-24 |
| 1245894419 | Sonya Brielle Hayhurst | Nurse Practitioner | 16026 Via Solera Cir Apt 102, Fort Myers, FL 33908-7706 | 2019-04-23 |
| 1083175871 | Jackelin Smith | Nurse Practitioner | 10685 Essex Square Blvd, Fort Myers, FL 33913-2612 | 2019-03-26 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
Please comment or provide details below to improve the information on PHILLIP WENDINGER.
| 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.