FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC (NPI# 1619940582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619940582 |
| Entity Type | Organization |
| Organization Name | FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC |
| Other Organization Name | CENTER FOR DIGESTIVE HEALTH AND PAIN MANAGEMENT |
| Practice Address |
12700 Creekside Ln Suite 202 Fort Myers FL 33919-3356 |
| Practice Telephone | 2394891660 |
| Practice Fax Number | 2394892114 |
| Mailing Telephone | 2394891660 |
| Mailing Fax Number | 2394892114 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2009-05-06 |
| Authorized Official Name | MR. BILLIE A PAYNE (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
776 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0751839-00 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Digestive Health and Pain Management | Doing Business As Name - Organization |
| Street Address |
12700 CREEKSIDE LN SUITE 202 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241254 | Athanassios Drimoussis | Internal Medicine | 12700 Creekside Ln, Ste 201, Fort Myers, FL 33919-3356 | 2005-08-02 |
| 1215410220 | Nicholas Shelley | Registered Nurse | 12700 Creekside Ln, Fort Myers, FL 33919-3356 | 2018-09-14 |
| 1881025203 | Dorothea Ann Tocco | Physician Assistant | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2013-12-11 |
| 1619310091 | Kathleen Bell | Nurse Practitioner | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2013-04-16 |
| 1760726061 | Jacquelynn Marie Kubay | Nurse Practitioner | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2012-11-27 |
| 1053694877 | Ross W Kravetz | Physician Assistant | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2011-09-28 |
| 1144415571 | Robert A Goldman | Physical Therapist | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2007-09-10 |
| 1740358928 | Elaine Joy Arpin | Neurological Surgery | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2006-12-04 |
| 1730256934 | George W Sypert | Neurological Surgery | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2006-11-30 |
| 1578642336 | Gretchen Nelson | Physician Assistant | 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 | 2006-11-03 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801458989 | Millennium Surgery Centers of Florida, LLC | Clinic/Center | 8380 Riverwalk Park Blvd Ste 220, Fort Myers, FL 33919-8758 | 2019-06-28 |
| 1861052896 | Premier Adult and Childrens Surgery Center LLC | Clinic/Center | 5238 Mason Corbin Ct Ste 101, Fort Myers, FL 33907-7738 | 2019-06-20 |
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1265882096 | Prp Centers of Florida LLC | Clinic/Center | 1225 Sunbury Dr, Fort Myers, FL 33901-8738 | 2016-06-13 |
| 1992970230 | Park Center for Procedures LLC | Clinic/Center | 8255 College Parkway, Fort Myers, FL 33919-5193 | 2008-04-28 |
| 1609090257 | World Plaza Surgery LLC | Clinic/Center | 12640 World Plaza Ln # 71, Fort Myers, FL 33907-3987 | 2007-04-13 |
| 1225199482 | St Marks Surgical Center LLC | Clinic/Center | 6820 International Center Blvd, Fort Myers, FL 33912 | 2006-12-12 |
| 1457448912 | Gladiolus Surgery Center, LLC | Clinic/Center | 7431 Gladiolus Surgery Center, Fort Myers, FL 33908 | 2006-10-06 |
| 1053347203 | Dermatologic and Cosmetic Surgery | Clinic/Center | 2668 Swamp Cabbage Ct, Fort Myers, FL 33901-9332 | 2006-06-22 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC.
| 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.