DR. SURESH CHAVAKULA (NPI# 1598719551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598719551 |
| Entity Type | Individual |
| Full Name | DR. SURESH CHAVAKULA |
| Credential | MD |
| Practice Address |
5050 Mason Corbin Ct Fort Myers FL 33907-4541 |
| Practice Telephone | 2394822280 |
| Practice Fax Number | 2394822281 |
| Mailing Telephone | 2394822280 |
| Mailing Fax Number | 2394822281 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257130700 | 05 |
| Street Address |
5050 MASON CORBIN CT |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396258554 | Erika Cruz-martinez | Nurse Practitioner | 5050 Mason Corbin Ct, Fort Myers, FL 33907-4541 | 2017-11-09 |
| 1730355595 | Fort Myers Endoscopy Center LLC | Clinic/Center | 5050 Mason Corbin Ct, Fort Myers, FL 33907-4541 | 2008-05-01 |
| 1366575292 | Southwest Florida Endoscopy | Clinic/Center | 5050 Mason Corbin Ct, Fort Myers, FL 33907-4541 | 2007-03-13 |
| 1417099029 | Gastroenterology Consultants of Sw Fl, Pa | Specialist | 5050 Mason Corbin Ct, Fort Myers, FL 33907-4541 | 2007-02-12 |
| 1174610778 | Consultants In Gastroenterology | Internal Medicine | 5050 Mason Corbin Ct, Fort Myers, FL 33907-4541 | 2006-10-06 |
| 1053419036 | Jansi Probakaran | Internal Medicine | 5050 Mason Corbin Ct, Fort Myers, FL 33907 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831564533 | Multi-care Orthopedics and Spinal Rehabilitation, Pllc | Specialist | 13701 Cypress Terrace Cir, Fort Myers, FL 33907-8828 | 2015-12-07 |
| 1730406794 | Scott L Geller Md Pa | Specialist | 29 Barkley Cir, Fort Myers, FL 33907-7531 | 2010-04-29 |
| 1811213184 | Lee County Medical Solutions Inc. | Specialist | 3822 Broadway Ste C, Fort Myers, FL 33901-8148 | 2010-04-12 |
| 1639318322 | John D Ritrosky Md Pa | Specialist | 13981 Mcgregor Blvd Ste 101, Fort Myers, FL 33919-6130 | 2009-02-19 |
| 1245481597 | Southwest Florida Facial Plastic Surgery Associates Inc. | Specialist | 9407 Cypress Lake Dr Ste A, Fort Myers, FL 33919-0910 | 2008-10-06 |
| 1942458989 | Clinics To Go, P.a. | Specialist | 1662 Mcgregor Reserve Dr, Fort Myers, FL 33901-9654 | 2008-09-03 |
| 1790971950 | Renee Marie Terrasi | Specialist | 6714 Winkler Rd, Fort Myers, FL 33919-7204 | 2007-09-21 |
| 1881885606 | Barbara Jo Gutstadt | Specialist | 11150 Harbour Yacht Ct, C, Fort Myers, FL 33908-1150 | 2007-08-06 |
| 1417157538 | Children's Specialists of Fl Pa | Specialist | 7970 Summerlin Lakes Dr, Suite 200, Fort Myers, FL 33907-1855 | 2007-07-18 |
| 1144436510 | Jeffrey W Lewis | Specialist | 16400 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2007-05-15 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on DR. SURESH CHAVAKULA.
| 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.