LEA MOREEN BLACKWELL


Address: 2234 Colonial Blvd, Managed Care Dept., Fort Myers, FL 33907-1412
Phone: 2399317342

LEA MOREEN BLACKWELL (NPI# 1356508410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356508410
Entity Type Individual
Full Name LEA MOREEN BLACKWELL
Practice Address 2234 Colonial Blvd
Managed Care Dept.
Fort Myers
FL 33907-1412
Mailing Address 7451 Gladiolus Dr
Fort Myers
FL 33908-5193
Practice Telephone 2399317342
Practice Fax Number 2399317385
Mailing Telephone 2395747454
Mailing Fax Number 2395749439
Enumeration Date 2008-05-16
Last Update Date 2018-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery ME102649 FL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
FL CIGNA 0172805 01
FL 000373700 05
FL WELLCARE 463262 01
FL RAILROAD MEDICARE P00657339 01

Office Location

Street Address 2234 COLONIAL BLVD
MANAGED CARE DEPT.
City FORT MYERS
State FL
Zip Code 33907-1412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609873785 Patrick M Francke Radiology 2234 Colonial Blvd, Fort Myers, FL 33907-1412 2005-07-05
1548586118 Bryan Joseph Allen Urology 2234 Colonial Blvd, Attn: Payer Contracting & Relations, Fort Myers, FL 33907-1412 2010-04-08
1275792715 Howard M. Sheridan Radiology 2234 Colonial Blvd, Fort Myers, FL 33907-1412 2008-06-09
1922068436 Eric M Pachter Urology 2234 Colonial Blvd, Attn: Payer Contracting & Relations, Fort Myers, FL 33907-1412 2006-03-27

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891301263 Heather Marie Gable Surgery 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 2020-09-21
1891036810 Genesiscare Usa of Florida LLC Surgery 13691 Metro Pkwy Ste 350, Metro Medical Plaza, Fort Myers, FL 33912-4351 2013-03-15
1780967430 Surgical Healing Arts Center, LLC Surgery 6150 Diamond Centre Court, Suite 1301, Fort Myers, FL 33912 2011-09-20
1649413907 Bart Stanley Cuderman Surgery 14640 Double Eagle Ct, Fort Myers, FL 33912-1716 2009-04-15
1780835959 Surgical Consultants of Southwest Florida, LLC Surgery 4519 Tilton Ct, Fort Myers, FL 33907-1214 2008-10-07
1912161670 Brian D Kurland M D P A Surgery 13782 Plantation Rd Ste 103, Fort Myers, FL 33912 2008-07-11
1740490002 Bruce Cleaveland Bacon Surgery 6932 Old Whiskey Creek Dr, Fort Myers, FL 33919-1827 2007-05-23
1346468170 Claude P Lieber Surgery 482 Keenan Ct, Fort Myers, FL 33919-3110 2007-04-24
1588782585 Gilbert Abou Lahoud Surgery 6150 Diamond Centre Ct Unit 1200, Fort Myers, FL 33912 2007-03-27
1760580054 David T Rideout Surgery 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2006-09-20
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33907

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Dataset Information

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.

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