Individual provider Active NPI

Kenneth Allen Writesel, D.O.

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1023078532
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.004278 Issued in OH
Practice address
340 Tamiami TRL N Ste 162
Naples, FL 34102-5803
Phone
(239) 316-3323
NPI assigned
Mar 27, 2006
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-004278 OH
Family Medicine Physician 207Q00000X 34.004278 OH Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 34-004278 OH

Addresses

Primary practice location

340 Tamiami TRL N Ste 162
Naples, FL 34102-5803

Mailing address

340 Tamiami TRL N Ste 162
Naples, FL 34102-5803
Phone (239) 316-3323

Other practice location 1

312 E Market St
Washington Court House, OH 43160-1481
Phone (740) 620-4069

Other identifiers 4

IdentifierTypeStateIssuer
202602OtherOHFEDERAL BLACK LUNG
0667443MedicaidOH
000000224730OtherOHANTHEM
7300022OtherOHUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190717000035 FL Practitioner - Family Practice 0042118028 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4449OHMDOptometrist
34-004278OHMDFamily Medicine Physician
34.004278OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Premier Medical Care CurrentSince May 1, 2021 Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince May 21, 2019 Accepting new patients
Misken Consulting Inc Geriatric Medicine CurrentSince Mar 1, 2002 Accepting new patients
Akron Pathology Assoc Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Acute Care Partners Inc Past Accepting new patients
Madison Emergency Physicians Inc Past Accepting new patients

Locations

541 Park St
Dunedin, FL 34698
Phone (727) 474-5006

6870 Alister Way
Fort Myers, FL 33912
Phone (239) 217-4186

340 Tamiami Trl N
Naples, FL 34102

8980 49th St N
Pinellas Park, FL 33782
Phone (727) 546-4053

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

30701 Lorain Rd
Ste A
North Olmsted, OH 44070

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1023078532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TAMIAMI TRL N STE 162",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025803",
            "telephone_number": "239-316-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 TAMIAMI TRL N STE 162",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025803",
            "telephone_number": "239-316-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 E Market St",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431601481",
            "country_code": "US",
            "telephone_number": "740-620-4069",
            "fax_number": "740-620-4072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRITESEL",
        "first_name": "KENNETH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-004278",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.004278",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34-004278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "202602",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0667443",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000224730",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "7300022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.