LEE COUNTY TRAUMA SERVICES DISTRICT (NPI# 1639226608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639226608 |
| Entity Type | Organization |
| Organization Name | LEE COUNTY TRAUMA SERVICES DISTRICT |
| Practice Address |
2780 Cleveland Ave Suite 702 Fort Myers FL 33901-5858 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393326400 |
| Practice Fax Number | 2393345968 |
| Mailing Telephone | 2394241400 |
| Mailing Fax Number | 2394241421 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | JAMES NATHAN (PRESIDENT,CEO) |
| Authorized Official Telephone | 2399853500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 268529900 | 05 |
| Street Address |
2780 CLEVELAND AVE SUITE 702 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-5858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093902 | Sarah Jean Von Frantzius | Nurse Practitioner | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2020-04-28 |
| 1639799448 | Johny Williamceau | Registered Nurse | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2020-04-22 |
| 1568091197 | Shane Thomas Geffe | Student in an Organized Health Care Education/Training Program | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2020-04-06 |
| 1740846195 | Nadege Sanon | Registered Nurse | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2019-05-10 |
| 1336645597 | John Schmidt | Family Medicine | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2018-04-04 |
| 1700312709 | Christine Clare Norton | Student in an Organized Health Care Education/Training Program | 2780 Cleveland Ave, Suite 709, Fort Myers, FL 33901-5858 | 2017-05-11 |
| 1073045308 | Alice Eileen Shallcross | Family Medicine | 2780 Cleveland Ave, Fort Myers, FL 33901-5858 | 2017-03-27 |
| 1386006716 | Charles Robin Fleischer | Family Medicine | 2780 Cleveland Ave, Suite # 709, Fort Myers, FL 33901-5858 | 2016-03-24 |
| 1295114171 | Tyler Jacob Hendricks | Family Medicine | 2780 Cleveland Ave, Suite 709, Fort Myers, FL 33901-5858 | 2015-05-25 |
| 1952780934 | Shane Michael Drahos | Family Medicine | 2780 Cleveland Ave, Suite 709, Fort Myers, FL 33901-5858 | 2015-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134118060 | Andrew Mikulaschek | Surgery | 2780 Cleveland Ave, Suite 702, Fort Myers, FL 33901-5858 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619422607 | Shawn A. Mcclure Dmd, Md | Surgery | 8755 Sw 57th Pl, Cooper City, FL 33328-5921 | 2016-08-18 |
| 1326434556 | Kyle Leneweaver | Surgery | 5151 N 9th Ave # 305, Pensacola, FL 32504-8721 | 2015-04-14 |
| 1093063869 | Ocala Health Trauma, LLC | Surgery | 205 Se 14th Pl, Ocala, FL 34471-4341 | 2012-08-27 |
| 1912262544 | Injury Management, LLC | Surgery | 4010 Nw 100th Ave, Coral Springs, FL 33065-1549 | 2012-07-10 |
| 1558664987 | Moshe Stav Md Pa | Surgery | 1550 Ponce De Leon Dr, 3200 S. University Dr, Rm 7374, Fort Lauderdale, FL 33316-1324 | 2010-12-07 |
| 1154589786 | Meredith Lynn Shaddix | Surgery | 5153 North 9th Avenue, Suite 305, Pensacola, FL 32504 | 2008-05-30 |
| 1760681225 | Omar Mahmoud El-sheikh | Surgery | 801 E. 6th Street, Suite 602, Panama City, FL 32401-3663 | 2007-07-15 |
| 1689710279 | Thomas Anthony Abbruzzese | Surgery | 1654 Village Center Dr Apt 207, Lakeland, FL 33803-2892 | 2007-01-30 |
| 1003900952 | Meredith Tinti | Surgery | 3627 University Blvd S Ste 500, Jacksonville, FL 32216-7405 | 2006-10-03 |
| 1194748947 | James Carver Boyd | Surgery | 2280 N 9th Ave, Pensacola, FL 32503-3949 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
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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.