JOINT IMPLANT SURGEONS OF FLORIDA PA (NPI# 1508872839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508872839 |
| Entity Type | Organization |
| Organization Name | JOINT IMPLANT SURGEONS OF FLORIDA PA |
| Other Organization Name | JOINT IMPLANT SURGEONS OF FLORIDA, PA |
| Practice Address |
7331 College Pkwy Suite 300 Fort Myers FL 33907-5524 |
| Practice Telephone | 2393372003 |
| Practice Fax Number | 2393373168 |
| Mailing Telephone | 2393372003 |
| Mailing Fax Number | 2393373168 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | EDWARD THOMAS HUMBERT (PRESIDENT) |
| Authorized Official Telephone | 2393372003 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 0667439 | 01 | |
| FL | MEDICARE RAILROAD | 20188693 | 01 |
| FL | BCBS | 38222 | 01 |
| Other Name | Type Code |
|---|---|
| John B Fenning MD PA | Former Legal Business Name - Organization |
| Joint Implant Surgeons of Florida, PA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184196628 | Joint Implant Surgeons of Florida Pa | Orthopaedic Surgery | 1020 Crosspointe Dr Ste 108, Naples, FL 34110-0918 | 2018-12-21 |
| Street Address |
7331 COLLEGE PKWY SUITE 300 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063450971 | Ryan J. Shamus | Physician Assistant | 7331 College Pkwy, Suite 300, Fort Myers, FL 33907-5524 | 2006-06-03 |
| 1730695123 | Constance Kurash | Occupational Therapist | 7331 College Pkwy, Fort Myers, FL 33907-5524 | 2017-12-20 |
| 1609319359 | Blake Allen Davis | Physician Assistant | 7331 College Pkwy, Suite 300, Fort Myers, FL 33907-5524 | 2016-11-29 |
| 1124466685 | Edgar Comson Penano | Physical Therapist | 7331 College Pkwy, Suite 230, Fort Myers, FL 33907-5524 | 2013-06-06 |
| 1679824304 | Tyler J Loxley | Physician Assistant | 7331 College Pkwy, Suite 300, Fort Myers, FL 33907-5524 | 2012-09-20 |
| 1356678676 | Allison Catherine Humbert | Nurse Practitioner | 7331 College Pkwy, Suite 300, Fort Myers, FL 33907-5524 | 2009-11-06 |
| 1275860827 | Amy L Steinhour | Physician Assistant | 7331 College Pkwy, 300, Fort Myers, FL 33907-5524 | 2009-11-03 |
| 1528226644 | Evgeny Krynetskiy | Orthopaedic Surgery | 7331 College Pkwy, Suite 300, Fort Myers, FL 33907-5524 | 2008-05-27 |
| 1326245960 | Dennis O Sagini | Orthopaedic Surgery | 7331 College Pkwy, Suite 300, Fort Myers, FL 33907-5524 | 2007-06-28 |
| 1073718797 | David Eichten | Orthopaedic Surgery | 7331 College Pkwy, Suite 300, Fort Myers, FL 33907-5524 | 2007-06-21 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558721936 | Associates In Medicine & Surgery LLC | Anesthesiology | 11821 Palm Beach Blvd, Suite 124, Fort Myers, FL 33905-5908 | 2016-02-29 |
| 1053616003 | Sw Florida Anesthesia Services LLC | Anesthesiology | 4401 Evans Ave, Fort Myers, FL 33901 | 2011-01-24 |
| 1790775260 | Rashida G Loya | Anesthesiology | 12511 World Plaza Ln, Bldg 50, Fort Myers, FL 33907-3991 | 2005-10-26 |
| 1619978236 | Eugene D Mahaney | Anesthesiology | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2005-08-04 |
| 1669475356 | Gilberto Acosta | Anesthesiology | 7964 Summerlin Lakes Drive, Fort Myers, FL 33907-1816 | 2005-05-27 |
| 1265984124 | Fred A Liebowitz Md Pa | Anesthesiology | 6150 Diamond Centre Ct, 700-1, Fort Myers, FL 33912-4367 | 2016-10-26 |
| 1396066601 | Timothy Devon Replogle II | Anesthesiology | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2010-06-21 |
| 1942464011 | Ecsc II LLC | Anesthesiology | 7431 Gladiolus Dr, Fort Myers, FL 33908-5122 | 2008-07-17 |
| 1942341334 | Andrew Michael Gross | Anesthesiology | 12670 Creekside Ln, Suite 202, Fort Myers, FL 33919-3370 | 2007-02-09 |
| 1649284928 | Pain Management Consultants of Southwest Florida, Pl | Anesthesiology | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2006-07-29 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on JOINT IMPLANT SURGEONS OF FLORIDA PA.
| 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.