ANANTH KRISHNAN IYER


Address: 4371 Veronica S Shoemaker Blvd, Attn: Credentialing, Fort Myers, FL 33916-2216
Phone: 2394328515

ANANTH KRISHNAN IYER (NPI# 1861454696) 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) 1861454696
Entity Type Individual
Full Name ANANTH KRISHNAN IYER
Credential MD
Practice Address 4371 Veronica S Shoemaker Blvd
Attn: Credentialing
Fort Myers
FL 33916-2216
Mailing Address 5767 49 Street North
St Petersburg
FL 33709
Practice Telephone 2394328515
Practice Fax Number 7275213605
Mailing Telephone 7275220558
Mailing Fax Number 7275213605
Enumeration Date 2006-04-05
Last Update Date 2016-08-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
ME88720 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 270160000 05

Office Location

Street Address 4371 VERONICA S SHOEMAKER BLVD
ATTN: CREDENTIALING
City FORT MYERS
State FL
Zip Code 33916-2216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578911616 Whitney Griffith Nurse Practitioner 4371 Veronica S Shoemaker Blvd, Fort Myers, FL 33916-2216 2016-05-31
1255747382 Carolyn Cohill Nurse Practitioner 4371 Veronica S Shoemaker Blvd, Atten: Credentialing, Fort Myers, FL 33916-2216 2014-07-09
1538369228 Damita L. Thomas Nuclear Medicine 4371 Veronica S Shoemaker Blvd, Attn: Credentialing Dept, Fort Myers, FL 33916-2216 2007-07-20
1992913941 Ronald Goodwich Nuclear Medicine 4371 Veronica S Shoemaker Blvd, Fort Myers, FL 33916-2216 2007-05-21
1972669711 Florida Cancer Specialists P L Internal Medicine 4371 Veronica S Shoemaker Blvd, Fort Myers, FL 33916-2216 2006-12-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982251377 Tamara Alvarez Behavioral Analyst 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 2019-08-21
1457853798 Grant Community Residential Home Community Health Worker 2252 Wright Street (a), Fort Myers, FL 33916 2018-03-02
1811345887 Alexis Walker Specialist/Technologist 1407 Gardenia Avenue, Fort Myers, FL 33916 2016-05-31
1346698669 Irving Radiology, Inc Radiology 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 2016-05-26
1629452347 Ashley Ann Alberts Nurse Practitioner 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 2015-07-13
1932442837 Nicolas Alonzo Bolanos Counselor 4150 Ford Street Extension, Fort Myers, FL 33916 2013-03-29
1588936785 Optum Infusion Services 204, Inc. Home Health 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 2012-02-02
1700181047 Michele Lintz Case Manager/Care Coordinator 1280 Maravilla Lane, Ft Myers, FL 33916 2011-01-18
1821399114 Dollar Rx Pharmacy Pharmacy 2950 Winkler Ave # 701, Fort Myers, FL 33916 2010-11-03
1942494687 Benjamin M. Lowe Pharmacist 3033 Winkler Ave Ext, Fort Myers, FL 33916 2007-09-05
Find all providers in zip 33916

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295094332 A. Dosoretz, Md Prof. Corp. Internal Medicine 2160 Colonial Blvd, Fort Myers, FL 33907-1410 2012-05-10
1811909070 Bhanuprasad Koneru Internal Medicine 12781 World Plaza Ln, Suite 1, Fort Myers, FL 33907-4078 2006-08-13
1861483166 Brian K. Kim Internal Medicine 3840 Broadway, Fort Myers, FL 33901-8108 2005-11-04
1265929723 American Oncology Partners, P.a. Internal Medicine 9160 Forum Corporate Pkwy Ste 350, Fort Myers, FL 33905 2018-04-19
1538575410 Ocala Oncology Center Pl Internal Medicine 8140 College Pkwy, Suite 101, Fort Myers, FL 33919-5188 2014-07-11
1568717544 Magali Van Den Bergh Internal Medicine 8260 Gladiolus Dr, Fort Myers, FL 33908 2012-07-17
1265722060 Florida Cancer Specialists & Research Institute, LLC Internal Medicine 8931 Colonial Center Dr, Suite 302, Fort Myers, FL 33905-7809 2011-04-13
1740477595 Lee Cancer Clinic Pllc Internal Medicine 12781 World Plaza Ln, Unit 1, Fort Myers, FL 33907-4078 2007-09-26
1811187909 Syed Farhan Zafar Internal Medicine 3840 Broadway, Florida Cancer Specialists P L, Fort Myers, FL 33901-8108 2007-07-26
1972669711 Florida Cancer Specialists P L Internal Medicine 4371 Veronica S Shoemaker Blvd, Fort Myers, FL 33916-2216 2006-12-28
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33916

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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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