ALISA K ROMERO (NPI# 1902102445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902102445 |
Entity Type | Individual |
Full Name | ALISA K ROMERO |
Other Name | ALISA SANTIAGO |
Credential | PA-C |
Practice Address |
12700 Creekside Lane Suite 101 Fort Myers FL 33919-3356 |
Practice Telephone | 2394320774 |
Practice Fax Number | 2394329404 |
Mailing Telephone | 2394320774 |
Mailing Fax Number | 2394320229 |
Enumeration Date | 2011-02-01 |
Last Update Date | 2013-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9105863 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 003261200 | 05 | |
FL | BCBS | Y06NS | 01 |
Street Address |
12700 CREEKSIDE LANE SUITE 101 |
City | FORT MYERS |
State | FL |
Zip Code | 33919-3356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
Find all providers in zip 33919 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043784432 | Alex Richard Reynolds | Physician Assistant | 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 | 2019-01-18 |
1013261197 | Jamison Dicus | Physician Assistant | 7370 College Pkwy Ste 206, Fort Myers, FL 33907-5558 | 2012-10-29 |
1851691653 | Leslie F Naoom | Physician Assistant | 2531 Cleveland Ave 1, Fort Myers, FL 33901-4900 | 2010-10-26 |
1942327366 | Caroline N. Saleeby | Physician Assistant | 2531 Cleveland Ave Ste 1, Fort Myers, FL 33901-4900 | 2007-03-22 |
1295815298 | Christina Marie Brushaber | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2006-10-16 |
1952337636 | Joseph Deily Iv | Physician Assistant | 9981 S Healthpark Dr Ste 120, Fort Myers, FL 33908 | 2006-06-24 |
1689640732 | Ann V Brock | Physician Assistant | 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 | 2006-02-28 |
1326671553 | Kelly Elizabeth Carney | Physician Assistant | 7331 College Pkwy Ste 300, Fort Myers, FL 33907-5524 | 2020-02-17 |
1114440534 | Aleisha Nicole Rees | Physician Assistant | 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912-7131 | 2017-07-18 |
1427586577 | Tilia Gonzalez | Physician Assistant | 2531 Cleveland Ave Ste 1, Fort Myers, FL 33901-4900 | 2017-06-01 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33919 |
Please comment or provide details below to improve the information on ALISA K ROMERO.
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.