SIEVERT CLINIC, LLC (NPI# 1447201660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447201660 |
| Entity Type | Organization |
| Organization Name | SIEVERT CLINIC, LLC |
| Other Organization Name | SIEVERT CLINIC & WELLNESS CENTER |
| Practice Address |
3880 Colonial Blvd Suite 1a Fort Myers FL 33966-1062 |
| Practice Telephone | 2399361233 |
| Practice Fax Number | 2399368576 |
| Mailing Telephone | 2399361233 |
| Mailing Fax Number | 2399368576 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | DR. THOMAS D. SIEVERT (PRESIDENT) |
| Authorized Official Telephone | 2399361233 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS9565 | FL | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP2826072 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 111N00000X | Chiropractor | CH3599 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 77550 | 01 |
| Other Name | Type Code |
|---|---|
| Sievert Clinic & Wellness Center | Doing Business As Name - Organization |
| Street Address |
3880 COLONIAL BLVD SUITE 1A |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33966-1062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104259035 | Physicians Medical Group of Southwest Florida,llc | Family Medicine | 3880 Colonial Blvd, Suite 1a, Fort Myers, FL 33966-1062 | 2013-08-14 |
| 1811261563 | T.r. Diagnostics, LLC | Physiological Laboratory | 3880 Colonial Blvd, Suite 1b, Fort Myers, FL 33966-1062 | 2012-02-28 |
| 1922248830 | Renaissance Wellness, LLC | Pain Medicine | 3880 Colonial Blvd, Suite 2, Fort Myers, FL 33966-1062 | 2009-03-05 |
| 1861660649 | Konstantine Konstantine Yankopolus | Family Medicine | 3880 Colonial Blvd, Suite 2, Fort Myers, FL 33966-1062 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
| 1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| 1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
| 1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
| 1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
| 1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
| 1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
| 1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
| Find all providers in zip 33966 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547720 | Luis Jose Sepulveda | Chiropractor | 12437 Brantley Commons Ct, Fort Myers, FL 33907-5682 | 2020-01-09 |
| 1871137760 | Connor Joseph Heney | Chiropractor | 3114 Champion Ring Rd Apt 302, Fort Myers, FL 33905-5647 | 2019-11-04 |
| 1770139933 | Colonial Chiropractic, Inc | Chiropractor | 1570 Colonial Blvd Ste B, Fort Myers, FL 33907-1031 | 2019-08-14 |
| 1801352992 | Fort Myers Central Chiropractic LLC | Chiropractor | 4575 Via Royale Ste 203, Fort Myers, FL 33919-1018 | 2019-02-14 |
| 1093282816 | Brock S Frear Dc Pllc | Chiropractor | 11621 S Cleveland Ave Ste 80, Fort Myers, FL 33907-2866 | 2018-10-30 |
| 1760958250 | Corey Whitney | Chiropractor | 3635 Central Ave, Fort Myers, FL 33901-8218 | 2018-10-23 |
| 1992219141 | Dr. Brooke Iwanski Dc LLC | Chiropractor | 1791 Boy Scout Dr Ste 6, Fort Myers, FL 33907-2137 | 2017-11-27 |
| 1902348196 | Gerardo Alfaro Jr. | Chiropractor | 42 Barkley Cir Ste 2, Fort Myers, FL 33907-4543 | 2016-11-06 |
| 1003289513 | Matthew Edward Mccabe I | Chiropractor | 10491 6 Mile Cypress Pkwy, Fort Myers, FL 33966-6406 | 2015-11-05 |
| 1710374483 | Sean Matthew Kirkpatrick | Chiropractor | 2642 Newton Ave, Fort Myers, FL 33901-5831 | 2015-04-21 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33966 |
Please comment or provide details below to improve the information on SIEVERT CLINIC, LLC.
| 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.