JIMMY LIU, M.D., P.A. (NPI# 1194184861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194184861 |
| Entity Type | Organization |
| Organization Name | JIMMY LIU, M.D., P.A. |
| Practice Address |
21301 S Tamiami Trl Suite 320 Pmb 222 Estero FL 33928-2942 |
| Practice Telephone | 7247599819 |
| Practice Fax Number | 2393458003 |
| Mailing Telephone | 2393458001 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | JIMMY CHENG-YI LIU (OWNER, MD) |
| Authorized Official Telephone | 7247599819 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 102334300 | 05 |
| Street Address |
21301 S TAMIAMI TRL SUITE 320 PMB 222 |
| City | ESTERO |
| State | FL |
| Zip Code | 33928-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530875 | Maria T. Yuvienco | Physical Therapist | 21301 S Tamiami Trl, Ste 130, Estero, FL 33928-2943 | 2005-06-28 |
| 1063930923 | Aisha Gomango | Pharmacist | 21301 S Tamiami Trl, Estero, FL 33928-2942 | 2017-08-31 |
| 1265872378 | Daniel Michael Mossman | Pharmacist | 21301 S Tamiami Trl, Estero, FL 33928-2942 | 2013-07-03 |
| 1083951123 | Ronald D Picking IIi | Pharmacist | 21301 S Tamiami Trl, Ste 200, Estero, FL 33928-2942 | 2013-01-09 |
| 1508040320 | Cole Management of Florida LLC | Durable Medical Equipment & Medical Supplies | 21301 S Tamiami Trl, Suite 300, Estero, FL 33928-2942 | 2007-12-28 |
| 1619036027 | Steven Lee Knepper | Dentist | 21301 S Tamiami Trl, #350, Estero, FL 33928-2942 | 2006-12-08 |
| 1053418707 | Christina M Gunger | Physical Therapist | 21301 S Tamiami Trl, Ste 130, Estero, FL 33928-2942 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055588 | Jeremiah S Mossman | Nurse Anesthetist, Certified Registered | 21586 Belvedere Ln, Estero, FL 33928 | 2018-06-05 |
| 1376030361 | Trish Daino Lisw LLC | Social Worker | 9180 Estero Park Commons, Ste 2, Suite 2, Estero, FL 33928 | 2018-04-16 |
| 1861994204 | Kin Med, Pa | General Practice | 19910 S Tamiami Trail Ste C, Estero, FL 33928 | 2018-03-01 |
| 1073031225 | Dieu Huyen Thi Le | Pharmacist | 20311 Grande Oak Blvd, Estero, FL 33928 | 2017-09-07 |
| 1295284008 | National Vision, Inc. | Technician/Technologist | 22907 Lyden Dr, Estero, FL 33928 | 2016-09-22 |
| 1275982654 | Eileen Cherbini | Counselor | 13616 Canola Ct, Estero, FL 33928 | 2016-06-07 |
| 1952759342 | Alexander Conrad | Counselor | 8010 Sardinia Way Unit #221, Estero, FL 33928 | 2016-05-26 |
| 1154700466 | Estero Eyecare | Clinic/Center | 21753 Brixham Run Loop, Estero, FL 33928 | 2015-05-20 |
| 1982082335 | Gulfshore Pediatric Dentistry, P.a. | Dentist | 9921 Corkscrew Rd, Estero, FL 33928 | 2015-05-18 |
| 1942697149 | Conor William Byrt | Emergency Medicine | 21731 Sound Way, 102, Estero, FL 33928 | 2015-04-25 |
| Find all providers in zip 33928 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255622957 | Restorative Health and Healing Center LLC | Internal Medicine | 10201 Arcos Ave Ste 201, Estero, FL 33928-9461 | 2011-04-28 |
| 1497946172 | Anthony Scola IIi | Internal Medicine | 24231 Walden Center Dr Ste 100, Estero, FL 34134 | 2007-08-07 |
| 1104822584 | Nalinbhai G Patel | Internal Medicine | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2005-06-22 |
| 1013447549 | Matthew A Dorman | Internal Medicine | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2017-06-18 |
| 1821444951 | Michael Chrisopher Ianniello | Internal Medicine | 24231 Walden Center Dr, Estero, FL 34134-5013 | 2016-05-07 |
| 1184017782 | Martha Barzana-fernandez | Internal Medicine | 23450 Via Coconut Pt, Estero, FL 34135 | 2015-03-06 |
| 1497922298 | Alberto R Concepcion | Internal Medicine | 3501 Health Center Blvd, Suite 2310, Estero, FL 34135-8127 | 2008-05-12 |
| 1699857045 | Sievers and Company, LLC | Internal Medicine | 10201 Arcos Ave, Suite 201, Estero, FL 33928 | 2006-10-19 |
| 1174599484 | Thomas D Hughes | Internal Medicine | 23450 Via Coconut Pt, Estero, FL 34135-1877 | 2006-02-27 |
| 1437133287 | Lori Williams | Internal Medicine | 23450 Via Coconut Pt, Estero, FL 34135 | 2005-12-05 |
| Find all providers in ESTERO | ||||
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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.