MR. GREGG SCOTT MACDONALD (NPI# 1730668765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730668765 |
| Entity Type | Individual |
| Full Name | MR. GREGG SCOTT MACDONALD |
| Credential | APRN |
| Practice Address |
13782 Plantation Rd Ste 201 Fort Myers FL 33912-4462 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393431290 |
| Practice Fax Number | 2393434008 |
| Mailing Telephone | 2393431290 |
| Mailing Fax Number | 2393434008 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | APRN9325367 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100935200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2501 Ortiz Ave, Fort Myers, FL 339057804 | 2374771700 |
| Street Address |
13782 PLANTATION RD STE 201 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4462 |
| 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 |
| 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 |
| 1558772061 | Wally Plante | Psychiatry & Neurology | 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 | 2014-05-19 |
| 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 | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851497218 | Mary Hoke | Clinical Nurse Specialist | 13601 Plantation Rd, Fort Myers, FL 33912-4437 | 2006-09-15 |
| 1407851819 | Tammy L Mccarty | Clinical Nurse Specialist | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2005-06-14 |
| 1457904336 | Roberta Joyce Marino | Clinical Nurse Specialist | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905-7813 | 2019-07-19 |
| 1891284469 | Tiffany Hendrickson | Clinical Nurse Specialist | 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | 2018-05-09 |
| 1972003499 | San Wong | Clinical Nurse Specialist | 2780 Cleveland Ave Ste 819, Fort Myers, FL 33901 | 2018-02-21 |
| 1215448162 | Jessica Noelle Teston | Clinical Nurse Specialist | 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | 2017-10-18 |
| 1962928994 | Miguel Angel Gonzalez | Clinical Nurse Specialist | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 | 2017-08-22 |
| 1922534338 | Francesca Passalacqua | Clinical Nurse Specialist | 16281 Bass Rd, Suite 304, Fort Myers, FL 33908-9687 | 2017-05-04 |
| 1790140937 | David Bryan Gierut | Clinical Nurse Specialist | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966-4818 | 2015-12-15 |
| 1538585419 | Stacy Marie O'brien | Clinical Nurse Specialist | 2780 Cleveland Ave Ste 809, Fort Myers, FL 33901-5817 | 2014-03-14 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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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.