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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME88720 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 270160000 | 05 |
Street Address |
4371 VERONICA S SHOEMAKER BLVD ATTN: CREDENTIALING |
City | FORT MYERS |
State | FL |
Zip Code | 33916-2216 |
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 |
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 Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
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 |
City | FORT MYERS |
Zip Code | 33916 |
Please comment or provide details below to improve the information on ANANTH KRISHNAN IYER.
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.