DAVID T RIDEOUT


Address: 3050 Champion Ring Rd, Fort Myers, FL 33905-5599
Phone: 2072403362

DAVID T RIDEOUT (NPI# 1760580054) 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) 1760580054
Entity Type Individual
Full Name DAVID T RIDEOUT
Credential MD
Practice Address 3050 Champion Ring Rd
Fort Myers
FL 33905-5599
Mailing Address Po Box 511644
Punta Gorda
FL 33951-1644
Practice Telephone 2072403362
Mailing Telephone 2072403362
Enumeration Date 2006-09-20
Last Update Date 2019-07-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery ME129811 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 102202300 05
CA 00G873540 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2160 El Cerito Ct, Punta Gorda, FL 33950 2072403362

Other Providers DAVID RIDEOUT

NPI Name Taxonomy Address Enumeration
1396810206 David Austin Rideout Emergency Medicine 60 Washington St Ste 403, Salem, MA 01970-3517 2006-11-24
1467404632 David Rideout Radiology 400 East 3rd Street, Duluth, MN 55805 2006-05-16

Office Location

Street Address 3050 CHAMPION RING RD
City FORT MYERS
State FL
Zip Code 33905-5599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487276994 Keri T Coggins Physical Therapist 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2020-05-07
1609400951 Nancy Corso Physical Therapy Assistant 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2020-02-25
1346704756 Select Specialty Hospital - Fort Myers Inc Long Term Care Hospital 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2019-01-30
1114410214 Surgical Consulting Group Pa Surgery 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2018-06-13
1578074241 Alexandria Erickson Internal Medicine 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2017-10-20
1700339108 Axel Podiatry Services LLC Podiatrist 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2016-08-02
1578968749 Axel Health LLC Internal Medicine 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2014-10-29
1548680036 Promise Hospital of Lee, Inc. Long Term Care Hospital 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2014-04-23
1558616748 Ruth Elaine Vergara Bedonia Physical Therapist 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2012-07-13
1417226580 Joseph F Simard Pharmacist 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 2011-12-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811476211 Lisa Nicole Campbell Nurse Practitioner 2850 Via Campania St, Fort Myers, FL 33905 2018-08-07
1538670260 Doctorguarin LLC Clinic/Center 3143 Antica St, Fort Myers, FL 33905 2017-10-20
1366828931 Dawn Bradley Arnp Pllc Nurse Practitioner 3056 Champion Ring Rd, Ft Myers, FL 33905 2015-08-06
1720480551 Yohana Pierre Villarroel Licensed Practical Nurse 2789 Ortiz Ave., Fort Myers, FL 33905 2014-09-24
1639592090 Hamprenate Service Case Manager/Care Coordinator 2789 Oritz Avenue, Fort Myere, FL 33905 2014-01-21
1255688743 Ronak B Patel Pharmacist 9365 Via Murano Ct, Fort Myers, FL 33905 2012-08-14
1477824852 Joseph Francis Kusiak Plastic Surgery 3320 Shady Bend, Fort Myers, FL 33905 2012-01-18
1336447838 Vicky Brooks Nurse Practitioner 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 2011-03-08
1790898666 Access Medical South, Lc Durable Medical Equipment & Medical Supplies 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 2006-08-16
1780691600 Arthur Lee Strauss Social Worker 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 2006-08-02
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891301263 Heather Marie Gable Surgery 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 2020-09-21
1891036810 Genesiscare Usa of Florida LLC Surgery 13691 Metro Pkwy Ste 350, Metro Medical Plaza, Fort Myers, FL 33912-4351 2013-03-15
1780967430 Surgical Healing Arts Center, LLC Surgery 6150 Diamond Centre Court, Suite 1301, Fort Myers, FL 33912 2011-09-20
1649413907 Bart Stanley Cuderman Surgery 14640 Double Eagle Ct, Fort Myers, FL 33912-1716 2009-04-15
1780835959 Surgical Consultants of Southwest Florida, LLC Surgery 4519 Tilton Ct, Fort Myers, FL 33907-1214 2008-10-07
1912161670 Brian D Kurland M D P A Surgery 13782 Plantation Rd Ste 103, Fort Myers, FL 33912 2008-07-11
1740490002 Bruce Cleaveland Bacon Surgery 6932 Old Whiskey Creek Dr, Fort Myers, FL 33919-1827 2007-05-23
1346468170 Claude P Lieber Surgery 482 Keenan Ct, Fort Myers, FL 33919-3110 2007-04-24
1588782585 Gilbert Abou Lahoud Surgery 6150 Diamond Centre Ct Unit 1200, Fort Myers, FL 33912 2007-03-27
1265468367 Thomas L Bass Surgery 4519 Tilton Court, Fort Myers, FL 33907 2006-06-23
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33905

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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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