MR. VINOD KUMAR BHATNAGAR (NPI# 1780675561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780675561 |
| Entity Type | Individual |
| Full Name | MR. VINOD KUMAR BHATNAGAR |
| Credential | MD |
| Practice Address |
4310 Metro Pkwy Ste 205 Fort Myers FL 33916-9416 |
| Practice Telephone | 2392232751 |
| Mailing Telephone | 2392232751 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME39984 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
ME39984 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1285 Bayshore Dr, Englewood, FL 342234611 | 5193191285 | 2267210435 |
| Street Address |
4310 METRO PKWY STE 205 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575818 | Dylan Andrew Demars | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-10-12 |
| 1225635071 | Danielle Terese Binder | Counselor | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-10-05 |
| 1275159485 | Shayna Leeann Aguilar | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-06-23 |
| 1972139160 | Amanda Michelle Boroff | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-03-19 |
| 1346874955 | Sonica Sharma | Social Worker | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-02-24 |
| 1225678477 | Paula Anita Subadan | Social Worker | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-01-15 |
| 1932749884 | Hannah Marie Thielman | Counselor | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-01-08 |
| 1720627094 | Elissa Rose Pasanello | Social Worker | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-01-03 |
| 1487299269 | Jeffery M Hutter | Counselor | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2019-11-15 |
| 1720638570 | Susan Gallen | Social Worker | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2019-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982613550 | Vijaya L Ravindran | Psychiatry & Neurology | 3033 Winkler Avenue Ext, Va Opc, Fort Myers, FL 33916-9413 | 2006-08-05 |
| 1376578336 | Edward J Killeen | Psychiatry & Neurology | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205290 | Slrc Miami Medical LLC | Psychiatry & Neurology | 601 Brickell Key Dr, Miami, FL 33131-2662 | 2020-11-03 |
| 1225674849 | Slrc Jacksonville LLC | Psychiatry & Neurology | 14286 Beach Blvd Ste 118, Jacksonville, FL 32250-1561 | 2019-11-19 |
| 1790248466 | Waves of Wellness | Psychiatry & Neurology | 10 Se Central Pkwy Ste 225, Stuart, FL 34994-5920 | 2019-04-10 |
| 1548753718 | Good Health Outcomes, Inc. | Psychiatry & Neurology | 1200 4th St Ste 308, Key West, FL 33040-3763 | 2018-06-12 |
| 1013374354 | New Horizons Mental Health LLC | Psychiatry & Neurology | 12130 Cortez Blvd, Brooksville, FL 34613-5575 | 2016-01-18 |
| 1174913958 | Lee County Associates In Psychiatry | Psychiatry & Neurology | 1303 Homestead Rd N Ste 103, Lehigh Acres, FL 33936-6049 | 2015-01-30 |
| 1558609156 | Milagros C. Pescador | Psychiatry & Neurology | 5208 Touraine Dr, Tallahassee, FL 32308-5934 | 2013-01-17 |
| 1992063002 | Marilyn Horvath Md Pa | Psychiatry & Neurology | 4317 Sw 186th Ave, Miramar, FL 33029-2772 | 2012-04-26 |
| 1295044873 | Kelly L Dunn Md Pa | Psychiatry & Neurology | 1696 W Hibiscus Blvd Ste A, Melbourne, FL 32901-2638 | 2010-09-30 |
| 1083928527 | Gerocare Consulting LLC | Psychiatry & Neurology | 17332 Garden Heath Ct, Land O Lakes, FL 34638-8089 | 2010-07-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
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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.