GENESISCARE USA OF FLORIDA LLC (NPI# 1154757904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154757904 |
| Entity Type | Organization |
| Organization Name | GENESISCARE USA OF FLORIDA LLC |
| Other Organization Name | EAR, NOSE AND THROAT SPECIALISTS OF FLORIDA |
| Practice Address |
39 Barkley Cir Fort Myers FL 33907-7531 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 2399361616 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | DAN COLLINS (PRESIDENT) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESISCARE USA INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CE7138 | 01 |
| FL | 004302345 | 05 | |
| FL | 004302344 | 05 | |
| FL | 004302346 | 05 |
| Other Name | Type Code |
|---|---|
| Ear, Nose and Throat Specialists of Florida | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336509546 | Genesiscare Usa of Florida LLC | Surgery | 550 Twin Cities Blvd Ste C, Niceville, FL 32578-1050 | 2016-03-01 |
| 1528423670 | Genesiscare Usa of Florida LLC | Pharmacy | 2234 Colonial Blvd Ste 110, Fort Myers, FL 33907 | 2015-12-16 |
| 1982079380 | Genesiscare Usa of Florida LLC | Surgery | 820 Goodlette-frank Rd N, Naples, FL 34102-5445 | 2015-12-10 |
| 1184095234 | Genesiscare Usa of Florida LLC | Urology | 5065 S State Road 7 Ste 203, Lake Worth, FL 33449-5439 | 2015-10-15 |
| 1770952616 | Genesiscare Usa of Florida LLC | Urology | 3361 South Miami Avenue, Suite 306, Miami, FL 33133-4232 | 2015-09-22 |
| 1659755783 | Genesiscare Usa of Florida LLC | Surgery | 8925 Colonial Center Dr Ste 2000, Fort Myers, FL 33905-7813 | 2015-07-18 |
| 1174915748 | Genesiscare Usa of Florida LLC | Urology | 2721 Del Prado Blvd S Ste 230b, Cape Coral, FL 33904-5993 | 2015-02-19 |
| 1891036810 | Genesiscare Usa of Florida LLC | Surgery | 13691 Metro Pkwy Ste 350, Metro Medical Plaza, Fort Myers, FL 33912-4351 | 2013-03-15 |
| 1871735480 | Genesiscare Usa of Florida LLC | Urology | 2150 S Andrews Ave Ste 100, Fort Lauderdale, FL 33316-3432 | 2009-03-27 |
| 1972796787 | Genesiscare Usa of Florida LLC | Surgery | 1311 N University Dr, Coral Springs, FL 33071-6622 | 2007-08-24 |
| Street Address |
39 BARKLEY CIR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-7531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407821879 | Phillip E Andrews | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2006-02-21 |
| 1487913794 | Robert Walter Kopp II | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2012-05-07 |
| 1629334230 | John R Neiner | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2012-04-09 |
| 1730470899 | Justin T Casey | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2011-04-25 |
| 1174773741 | Ear Nose and Throat Specialists of Florida Pa | Hearing Aid Equipment | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2008-09-19 |
| 1598914715 | Aaron D Bilovecky | Audiologist | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2008-09-11 |
| 1306004817 | Lori Christine Cook | Audiologist | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2008-05-30 |
| 1326210642 | Erin Renee Luettich | Audiologist | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2008-03-26 |
| 1578734612 | Karen M Major | Audiologist | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2008-03-17 |
| 1790963254 | Heather B Catlin | Audiologist | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2008-02-07 |
| Find all providers in the same location | ||||
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407821879 | Phillip E Andrews | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2006-02-21 |
| 1720053101 | James H Fuller | Otolaryngology | 15761 New Hampshire Ct, Fort Myers, FL 33908-4176 | 2006-02-21 |
| 1922070887 | Jeff R Comer | Otolaryngology | 9738 Commerce Center Court, Fort Myers, FL 33908 | 2006-02-06 |
| 1760734651 | Jeff R. Comer M.d. P.a. | Otolaryngology | 9738 Commerce Center Ct, Fort Myers, FL 33908-3670 | 2012-10-03 |
| 1083961320 | Chauchau Tu Pham | Otolaryngology | 9711 Commerce Center Ct, Suite 101, Fort Myers, FL 33908-3817 | 2012-08-06 |
| 1487913794 | Robert Walter Kopp II | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2012-05-07 |
| 1629334230 | John R Neiner | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2012-04-09 |
| 1730470899 | Justin T Casey | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2011-04-25 |
| 1801038070 | Scott Von Larson | Otolaryngology | 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 2009-04-02 |
| 1093957649 | Anthony Joseph Anfuso Jr. | Otolaryngology | 4571 Colonial Blvd, Suite 210, Fort Myers, FL 33966-1156 | 2009-03-28 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
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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.