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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | ME129811 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 102202300 | 05 | |
CA | 00G873540 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2160 El Cerito Ct, Punta Gorda, FL 33950 | 2072403362 |
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 |
Street Address |
3050 CHAMPION RING RD |
City | FORT MYERS |
State | FL |
Zip Code | 33905-5599 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 33905 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
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. |
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 |
City | FORT MYERS |
Zip Code | 33905 |
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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.