WALLY PLANTE (NPI# 1558772061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558772061 |
| Entity Type | Individual |
| Full Name | WALLY PLANTE |
| Credential | MD |
| Practice Address |
13782 Plantation Rd Ste 201 Fort Myers FL 33912 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393431290 |
| Practice Fax Number | 2393437008 |
| Mailing Telephone | 2393431290 |
| Mailing Fax Number | 2393437008 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME135129 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100164900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13340 Metro Pkwy Ste 400, Fort Myers, FL 339664818 | 2393431290 | 2393434008 |
| Street Address |
13782 PLANTATION RD STE 201 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536054 | Ravi Ramaswami | Family Medicine | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2005-05-24 |
| 1053883959 | Thomas Cappadona | Physician Assistant | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2018-12-18 |
| 1730668765 | Gregg Scott Macdonald | Clinical Nurse Specialist | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2018-08-10 |
| 1023544012 | Jaime Marie Realsen Hall | Student in an Organized Health Care Education/Training Program | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2017-05-11 |
| 1427430370 | Samuel Giles | Internal Medicine | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2015-06-26 |
| 1043606288 | Ryan Oliver Moorhouse | Psychiatry & Neurology | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2015-04-14 |
| 1003202805 | April Stewart Stowers | Nurse Practitioner | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2015-04-08 |
| 1114221546 | Julie Anne Taylor | Nurse Practitioner | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2010-12-28 |
| 1851328777 | Alexander M Pendino | Psychiatry & Neurology | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912-4462 | 2006-06-27 |
| 1255385662 | Donald M Mccarren | Psychiatry & Neurology | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1134407737 | Douglas A Newland Md Pa | Psychiatry & Neurology | 2780 Cleveland Ave Ste 810, Fort Myers, FL 33901-5817 | 2011-07-30 |
| 1376634246 | Schwartz and Schwartz Mdpa | Psychiatry & Neurology | 38 Barkley Cir, Suite 2, Fort Myers, FL 33907-7526 | 2006-09-27 |
| 1700802311 | Naili Duan | Psychiatry & Neurology | 9730 Commerce Center Ct, Fort Myers, FL 33908-3615 | 2006-07-15 |
| 1992774327 | Nima Mowzoon | Psychiatry & Neurology | 9110 College Pointe Court, Fort Myers, FL 33919 | 2006-03-16 |
| 1982673091 | Douglas Alan Newland | Psychiatry & Neurology | 13601 Plantation Rd Ste 3, Fort Myers, FL 33912-4437 | 2006-03-14 |
| 1881684074 | Shubhangi Atul Chumble | Psychiatry & Neurology | 9110 College Pointe Ct, Fort Myers, FL 33919 | 2005-10-27 |
| 1437151172 | Edward Lebretta Davis | Psychiatry & Neurology | 6100 Winkler Rd, Suite C, Fort Myers, FL 33919-8126 | 2005-08-12 |
| 1902805856 | David B Sudderth | Psychiatry & Neurology | 3210 Cleveland Ave, Suite 100, Fort Myers, FL 33901-7182 | 2005-07-21 |
| 1417950635 | Chris J Marino | Psychiatry & Neurology | 12670 Whitehall Dr, Fort Myers, FL 33907-3619 | 2005-05-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on WALLY PLANTE.
| 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.