Regence Healthcare Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

REGENCE HEALTHCARE INC

Doing business as

COLONNADE, REGENCE MEDICAL CENTER

Practice address

9500 Bonita Beach Rd SE
Suite 310
Bonita Springs, FL 34135-4698

Phone

(239) 498-9114

Fax

(239) 498-6555

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Zannos Giorgios Grekos, M.D.NPI 1326071499

Title

President

Phone

(239) 498-9114

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• COLONNADE, REGENCE MEDICAL CENTER Doing business as

Locations

Practitioners 4

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

• Zannos Giorgios Grekos, MD

  • Cardiovascular Disease Physician
  • Bonita Springs, FL
  • NPI 1326071499
  NPD (past) Authorized official
• Ruth Marie Bishr, MS ARNP C

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1750475026
  NPD (past)
• Christopher Alan Jones, PA C

  • Medical Physician Assistant
  • Naples, FL
  • NPI 1639162092
  NPD (past)
• Pearl Eleanor Hennan-Hain, D.O.

  • Pediatrics Physician
  • Ironton, OH
  • NPI 1871597815
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1013104728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 BONITA BEACH RD SE",
            "address_2": "SUITE 310",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354698",
            "telephone_number": "239-498-9114",
            "fax_number": "239-498-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BONITA BEACH RD SE",
            "address_2": "SUITE 310",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354698",
            "telephone_number": "239-498-9114",
            "fax_number": "239-498-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "GREKOS",
        "authorized_official_first_name": "ZANNOS",
        "authorized_official_middle_name": "GIORGIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-498-9114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250770600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPAN",
            "identifier": "K0089",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLONNADE, REGENCE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerri Lynn Rautenkranz, PT, ATC
• Rawa
• Annie Ray, D.C.
• Raymond E Peters Inc
• Redi Med of Bonita Springs LLC
• Gregory Rehling, DVM
• Rescare, Inc.
• Restore Chiropractic, L.L.C.
• Revive Recovery LLC
• Noemi D Reyes Ramos, APRN

• Cardiovascular Disease Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.