ELLEN GORDON POAGE


Address: 8660 College Pkwy, Suite 60, Fort Myers, FL 33919-4886
Phone: 2392770919

ELLEN GORDON POAGE (NPI# 1629276613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629276613
Entity Type Individual
Full Name ELLEN GORDON POAGE
Credential ARNP
Practice Address 8660 College Pkwy
Suite 60
Fort Myers
FL 33919-4886
Mailing Address 2234 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers
FL 33907-1412
Practice Telephone 2392770919
Practice Fax Number 2394154960
Mailing Telephone 2399317342
Mailing Fax Number 2399317385
Enumeration Date 2007-07-11
Last Update Date 2016-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP1812112 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
ARNP1812112 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL FREEDOM P999557 01
FL WELLCARE 1235753 01
FL RAILROAD MCR P01279998 01
FL BCBS OF FL Y4971 01
FL OPTIMUM P959926 01
FL AETNA 5034309 01
FL AVMED 398633 01

Office Location

Street Address 8660 COLLEGE PKWY
SUITE 60
City FORT MYERS
State FL
Zip Code 33919-4886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396796405 Ralph Ronald Garramone Jr. Plastic Surgery 8660 College Pkwy, Suite 100, Fort Myers, FL 33919-4886 2006-05-13
1841543618 Maria D Cabrera Legal Medicine 8660 College Pkwy, Suite#150, Fort Myers, FL 33919-4886 2012-10-18
1497007546 First Sw Health Care Inc. Clinic/Center 8660 College Pkwy, Suite #150, Fort Myers, FL 33919-4886 2012-10-12
1083881684 Jeanette A Bevilacqua Registered Nurse 8660 College Pkwy, 230, Fort Myers, FL 33919-4886 2008-05-13
1811165897 Alpha Home Care Services LLC Home Health 8660 College Pkwy, Suite 80, Fort Myers, FL 33919-4886 2008-02-13

Providers in the same zip code

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 Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093330714 Renuka Jackson Nurse Practitioner 6150 Diamond Centre Ct Unit 100, Fort Myers, FL 33912-4367 2020-06-09
1386101798 Debra Lee Sicilian Nurse Practitioner 2327 Jeffcott St, Fort Myers, FL 33901-5211 2019-02-22
1619452877 Kamila Shurii Tursi Nurse Practitioner 6631 Orion Dr Ste 110, Fort Myers, FL 33912-4333 2018-10-03
1003396714 Carmalee Martin Nurse Practitioner 9341 Via San Giovani St, Fort Myers, FL 33905-5564 2018-08-21
1740779701 Dedra Dawn Coop Nurse Practitioner 13300 S Cleveland Ave Ste 56, Fort Myers, FL 33907-3871 2018-05-05
1073039087 Ruth Milien Jonathas Nurse Practitioner 16420 Healthpark Commons Dr Ste 100, Fort Myers, FL 33908-9621 2017-08-21
1396283578 Jerry Hernandez Sr. Nurse Practitioner 12731 World Plaza Ln Bldg 83, Fort Myers, FL 33907-4081 2017-02-07
1730622598 Valerie Starnes Nurse Practitioner 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 2016-11-28
1942752134 Lauren Chandler Masters Nurse Practitioner 14300 Riva Del Lago Dr Apt 704, Fort Myers, FL 33907-7804 2016-11-04
1467706192 Kerry Spillane Nurse Practitioner 9981 S. Healthpark Dr, Fort Myers, FL 33908-3618 2012-11-02
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33919

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Dataset Information

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.

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