EAR NOSE & THROAT ASSOCIATES MD PA (NPI# 1609960954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609960954 |
| Entity Type | Organization |
| Organization Name | EAR NOSE & THROAT ASSOCIATES MD PA |
| Practice Address |
9711 Commerce Center Ct Suite 101 Fort Myers FL 33908-3817 |
| Practice Telephone | 2399392621 |
| Practice Fax Number | 2399393875 |
| Mailing Telephone | 2399392621 |
| Mailing Fax Number | 2399393875 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-09-10 |
| Authorized Official Name | JOHN DRUMMOND DONALDSON (PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 2399392621 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 268721600 | 05 |
| Street Address |
9711 COMMERCE CENTER CT SUITE 101 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215994611 | Betty Jane Hoade | Audiologist | 9711 Commerce Center Ct, Ste 101, Fort Myers, FL 33908-3817 | 2006-04-28 |
| 1083961320 | Chauchau Tu Pham | Otolaryngology | 9711 Commerce Center Ct, Suite 101, Fort Myers, FL 33908-3817 | 2012-08-06 |
| 1932371952 | Brooke M Pape | Audiologist | 9711 Commerce Center Ct, 101, Fort Myers, FL 33908-3817 | 2008-03-31 |
| 1982785937 | James L Newlon | Otolaryngology | 9711 Commerce Center Ct, Ste 101, Fort Myers, FL 33908-3817 | 2006-10-18 |
| 1255318267 | Travis John Pfannenstiel | Otolaryngology | 9711 Commerce Center Ct, Suite 101, Fort Myers, FL 33908-3817 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407821879 | Phillip E Andrews | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2006-02-21 |
| 1720053101 | James H Fuller | Otolaryngology | 15761 New Hampshire Ct, Fort Myers, FL 33908-4176 | 2006-02-21 |
| 1922070887 | Jeff R Comer | Otolaryngology | 9738 Commerce Center Court, Fort Myers, FL 33908 | 2006-02-06 |
| 1154757904 | Genesiscare Usa of Florida LLC | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2013-09-24 |
| 1760734651 | Jeff R. Comer M.d. P.a. | Otolaryngology | 9738 Commerce Center Ct, Fort Myers, FL 33908-3670 | 2012-10-03 |
| 1083961320 | Chauchau Tu Pham | Otolaryngology | 9711 Commerce Center Ct, Suite 101, Fort Myers, FL 33908-3817 | 2012-08-06 |
| 1487913794 | Robert Walter Kopp II | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2012-05-07 |
| 1629334230 | John R Neiner | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2012-04-09 |
| 1730470899 | Justin T Casey | Otolaryngology | 39 Barkley Cir, Fort Myers, FL 33907-7531 | 2011-04-25 |
| 1801038070 | Scott Von Larson | Otolaryngology | 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 2009-04-02 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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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.