MR. SCOTT L GELLER (NPI# 1609858711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609858711 |
| Entity Type | Individual |
| Full Name | MR. SCOTT L GELLER |
| Credential | M.D.,P.A. |
| Practice Address |
4755 Summerlin Rd Suite # 1 Fort Myers FL 33919-1073 |
| Practice Telephone | 2392758222 |
| Practice Fax Number | 2392759080 |
| Mailing Telephone | 2392758222 |
| Mailing Fax Number | 2392759080 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2016-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME0035800 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 066192900 | 05 | |
| FL | AETNA | 623816 | 01 |
| FL | CIGNA | 1114036 | 01 |
| FL | BCBS | 36315 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033661368 | Scott Geller | Physician Assistant | 1095 Rydal Rd, Rydal, PA 19046-1711 | 2016-11-03 |
| Street Address |
4755 SUMMERLIN RD SUITE # 1 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-1073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467728857 | Lakshmi Bushan Md Pa | Clinic/Center | 4755 Summerlin Rd, Suite 8, Fort Myers, FL 33919-1073 | 2012-03-29 |
| 1760627566 | Sunshine Physician Associates LLC | Internal Medicine | 4755 Summerlin Rd, # 8, Fort Myers, FL 33919-1073 | 2008-12-08 |
| 1629240593 | Scott L. Geller Md, Pa | Ophthalmology | 4755 Summerlin Rd, Suite # 1, Fort Myers, FL 33919-1073 | 2008-03-31 |
| 1306864913 | E Gonzalez | Family Medicine | 4755 Summerlin Rd, Suite 8, Fort Myers, FL 33919-1073 | 2006-07-18 |
| 1558395681 | Lakshmi Bushan | Internal Medicine | 4755 Summerlin Rd, Suite 8, Fort Myers, FL 33919-1073 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871020669 | Fort Myers Medical Universer | Ophthalmology | 4531 Deleon St, Fort Myers, FL 33907-1278 | 2017-05-11 |
| 1235557166 | Maximilian R. Padilla | Ophthalmology | 13470 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1850 | 2014-03-28 |
| 1821227331 | Jessica Jane Kovarik | Ophthalmology | 9800 S Healthpark Dr Ste 110, Fort Myers, FL 33908-3630 | 2009-07-06 |
| 1174659536 | Bradford S. Prokop | Ophthalmology | 11520 Compass Point Dr, Fort Myers, FL 33908-4926 | 2007-02-27 |
| 1770659856 | Southwest Florida Eye Care, L.l.c | Ophthalmology | 6850 International Cntr Blvd, Fort Myers, FL 33912-7129 | 2006-11-28 |
| 1396836037 | Florentino E Palmon | Ophthalmology | 6850 International Center Boulevard, Fort Myers, FL 33912-7129 | 2006-09-27 |
| 1437189701 | Vinod Bhavnani | Ophthalmology | 6810 Porto Fino Cir, Fort Myers, FL 33912-7140 | 2006-07-03 |
| 1356382725 | Ophthalmic Facial Plastic Surgery Specialists | Ophthalmology | 7331 College Parkway, Suite 200, Fort Myers, FL 33907 | 2006-06-09 |
| 1972550622 | Hussein Wafapoor | Ophthalmology | 1567 Hayley Ln, Suite 101, Fort Myers, FL 33907-2109 | 2006-05-28 |
| 1194777185 | Albert E Smolyar | Ophthalmology | 6850 International Center Blvd, Fort Myers, FL 33912 | 2006-05-17 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
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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.