Organization Active NPI

George Kovacevic,OBGYN Inc

  • Obstetrics & Gynecology Physician
  • Cape Coral, FL
National Provider Identifier
1053594291
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GEORGE KOVACEVIC,OBGYN INC
Practice address
3046 Delprado Blvd S
Suite C and D
Cape Coral, FL 33904
Phone
(239) 540-9111
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
George Kovacevic, MD
Title
Owner/Physician
Phone
(239) 540-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3046 Delprado Blvd S
Suite C and D
Cape Coral, FL 33904

Mailing address

3046 Delprado Blvd S
Suite C and D
Cape Coral, FL 33904
Phone (239) 540-9111

Other identifiers 1

IdentifierTypeStateIssuer
37259OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

3046 Del Prado Blvd S
Ste C
Cape Coral, FL 33904

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1053594291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 DELPRADO BLVD S",
            "address_2": "SUITE C AND D",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33904",
            "telephone_number": "239-540-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 DELPRADO BLVD S",
            "address_2": "SUITE C AND D",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33904",
            "telephone_number": "239-540-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE KOVACEVIC,OBGYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KOVACEVIC",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "239-540-9111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37259",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.