NPIMap

Organization Active NPI

Epn Family Care LLC

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1013101112
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EPN FAMILY CARE LLC
Practice address
1280 Creekside St
Suite 105
Naples, FL 34108-1948
Phone
(239) 594-2720
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John P Lewis, MDNPI 1548357437
Title
Ceo
Phone
(239) 262-4519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1280 Creekside St
Suite 105
Naples, FL 34108-1948

Mailing address

1280 Creekside St
Suite 105
Naples, FL 34108-1948
Phone (239) 594-2720

Other identifiers 1

IdentifierTypeStateIssuer
36909OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

1112 Goodlette Rd
Ste 204
Naples, FL 34102
Phone (239) 262-4519

1280 Creekside Blvd E
Ste 105
Naples, FL 34109
Phone (239) 254-7907

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1013101112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 CREEKSIDE ST",
            "address_2": "SUITE 105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081948",
            "telephone_number": "239-594-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 CREEKSIDE ST",
            "address_2": "SUITE 105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081948",
            "telephone_number": "239-594-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPN FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-262-4519",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36909",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.