MARTIN EBENGER (NPI# 1912994609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912994609 |
| Entity Type | Individual |
| Full Name | MARTIN EBENGER |
| Credential | M.D. |
| Practice Address |
15901 Bass Rd Suite 100 Fort Myers FL 33908 |
| Mailing Address |
Po Box 2147 Ft Myers FL 33902-2147 |
| Practice Telephone | 2393436100 |
| Practice Fax Number | 2393439925 |
| Mailing Telephone | 2393436100 |
| Mailing Fax Number | 2393439925 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME0065358 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 376275100 | 05 |
| Street Address |
15901 BASS RD SUITE 100 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851819 | Tammy L Mccarty | Clinical Nurse Specialist | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2005-06-14 |
| 1174877104 | Kathleen N Tenrreiro | Nurse Practitioner | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2012-10-29 |
| 1821397456 | Natalie A Gillson | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908 | 2011-03-22 |
| 1811126253 | Sujana Reddy | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2009-07-07 |
| 1992943781 | Guillermo A Philipps | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2009-02-02 |
| 1336390970 | Melissa I Lee | Obstetrics & Gynecology | 15901 Bass Rd, Suite 100, Fort Myers, FL 33908-3838 | 2008-10-01 |
| 1326250523 | Dina Belachew Pearson | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2007-05-03 |
| 1336368927 | Britt Allen Stroud | Psychiatry & Neurology | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2007-04-24 |
| 1093875106 | Sheila Margaret Rossell | Nurse Practitioner | 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 | 2006-12-11 |
| 1265444715 | Asjad U Khan | Pediatrics | 15901 Bass Rd, Suite 102, Fort Myers, FL 33908-3838 | 2006-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265254 | Swfl Integrative Medicine, P.a. | Obstetrics & Gynecology | 1570 Colonial Blvd Ste A, Fort Myers, FL 33907-1031 | 2020-05-02 |
| 1922566165 | Richard Lewis Fox | Obstetrics & Gynecology | 14611 Safe Landing Ct, Fort Myers, FL 33908-4932 | 2019-03-06 |
| 1952667487 | Jeannette Marie Lopiano | Obstetrics & Gynecology | 16271 Bass Road, Fort Myers, FL 33908-3616 | 2012-04-10 |
| 1134491533 | Steven B Sager Do Facog Pa | Obstetrics & Gynecology | 9671 Gladiolus Dr Ste 111, Fort Myers, FL 33908-7684 | 2012-01-31 |
| 1164614434 | Juan P Richiusa | Obstetrics & Gynecology | 13195 Metro Pkwy # 6-9, Fort Myers, FL 33966-4810 | 2007-08-10 |
| 1548380538 | Donald Frederick Bruhn | Obstetrics & Gynecology | 12901 Kelly Bay Ct, Fort Myers, FL 33908-5963 | 2007-03-31 |
| 1972634822 | Norris Michael Allen | Obstetrics & Gynecology | 3615 Central Ave Ste 7, Fort Myers, FL 33901-8257 | 2007-03-09 |
| 1114000775 | Eric B Feinberg | Obstetrics & Gynecology | 15901 Bass Rd Ste 100, Fort Myers, FL 33908-3838 | 2006-10-24 |
| 1760575740 | Marilyn Young Liu | Obstetrics & Gynecology | 9009 Ligon Ct, Fort Myers, FL 33908-3602 | 2006-10-02 |
| 1548271869 | Desiree Granados-fischel | Obstetrics & Gynecology | 19348 La Serena Dr, Fort Myers, FL 33967-0525 | 2006-08-11 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on MARTIN EBENGER.
| 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.