Eugene Usberghi, Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0006042 Issued in FL

Legal business name

EUGENE USBERGHI, JR., D.O.

Practice address

14651 Palm Beach Blvd
Suite 100
Fort Myers, FL 33905-2331

Phone

(239) 694-5632

Fax

(239) 693-6202

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Usberghi Jr., D.O.

Title

Doctor

Phone

(239) 694-5632

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12070/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440806400000",
    "number": "1053710152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 PALM BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052331",
            "telephone_number": "239-694-5632",
            "fax_number": "239-693-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 PALM BEACH BLVD",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052331",
            "telephone_number": "239-694-5632",
            "fax_number": "239-693-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE USBERGHI, JR., D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-08-29",
        "status": "A",
        "authorized_official_last_name": "USBERGHI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "239-694-5632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0006042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056169000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Etienne
• Natanaela Etienne
• Peterling Etienne
• Roselaure Saintilmont Etienne
• Eugene a Batelli DPM LLC
• Ev Rider, LLC
• Eliza Lynn Evangelista
• Evans Avenue Health Care Clinic, Inc
• Evans Avenue Opco LLC
• Evans Chiropractic LLC

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2015; 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.