AXEL PODIATRY SERVICES LLC (NPI# 1700339108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700339108 |
| Entity Type | Organization |
| Organization Name | AXEL PODIATRY SERVICES LLC |
| Practice Address |
3050 Champion Ring Rd Fort Myers FL 33905-5599 |
| Mailing Address |
4820 Griffin Blvd Fort Myers FL 33908-2016 |
| Practice Telephone | 5618693100 |
| Mailing Telephone | 2393132901 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | DR. SUMEET V SHETTY (OWNER) |
| Authorized Official Telephone | 2398729734 |
| Authorized Official Credential | M D |
| Is Organization Subpart | Y |
| Parent Organization Name | AXEL HEALTH LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3050 CHAMPION RING RD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-5599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760580054 | David T Rideout | Surgery | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2006-09-20 |
| 1487276994 | Keri T Coggins | Physical Therapist | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2020-05-07 |
| 1609400951 | Nancy Corso | Physical Therapy Assistant | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2020-02-25 |
| 1346704756 | Select Specialty Hospital - Fort Myers Inc | Long Term Care Hospital | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2019-01-30 |
| 1114410214 | Surgical Consulting Group Pa | Surgery | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2018-06-13 |
| 1578074241 | Alexandria Erickson | Internal Medicine | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2017-10-20 |
| 1578968749 | Axel Health LLC | Internal Medicine | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2014-10-29 |
| 1548680036 | Promise Hospital of Lee, Inc. | Long Term Care Hospital | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2014-04-23 |
| 1558616748 | Ruth Elaine Vergara Bedonia | Physical Therapist | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2012-07-13 |
| 1417226580 | Joseph F Simard | Pharmacist | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2011-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437248648 | Brian K Doerr Dpm Pa | Podiatrist | 14391 Metropolis Avenue, Suite 103, Fort Myers, FL 33912 | 2006-10-12 |
| 1093729592 | Jeffrey Eric Kleiman | Podiatrist | 8350 Riverwalk Park Blvd Ste 1, Fort Myers, FL 33919-8759 | 2006-07-28 |
| 1073536207 | Howard M Imanuel Dpm Pa | Podiatrist | 13681 Metropolis Ave, Fort Myers, FL 33912-4318 | 2006-07-26 |
| 1174587075 | Patricia Nicholas | Podiatrist | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370 | 2006-04-17 |
| 1780665869 | Lori Lynn Finn | Podiatrist | 13761 Mcgregor Blvd, Fort Myers, FL 33919-6120 | 2005-11-07 |
| 1295722080 | Mark E Weaver | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2005-10-05 |
| 1750381190 | Howard M Imanuel | Podiatrist | 8851 Boardroom Cir, Fort Myers, FL 33919-4888 | 2005-07-28 |
| 1194725002 | Foot & Ankle Group of Southwest Florida, Pa | Podiatrist | 5238 Mason Corbin Ct, Suite 102, Fort Myers, FL 33907-7738 | 2005-07-21 |
| 1578820700 | Mark E Weaver, Dpm | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2012-04-12 |
| 1184807745 | Southwest Independent Practice Assoc | Podiatrist | 5238 Mason Corbin Ct, Suite 102, Fort Myers, FL 33907-7738 | 2007-12-06 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
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| 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.