Organization Active NPI

Howard M Imanuel DPM PA

Doing business as The Podiatry Center

  • Podiatrist
  • Fort Myers, FL
National Provider Identifier
1073536207
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
HOWARD M IMANUEL DPM PA
Doing business as
The Podiatry Center
Practice address
13681 Metropolis Ave
Fort Myers, FL 33912-4318
Phone
(239) 768-2323
Fax
(239) 768-5530
NPI assigned
Jul 26, 2006
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Howard M Imanuel, DPMNPI 1750381190
Title
President
Phone
(239) 768-2323

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

13681 Metropolis Ave
Fort Myers, FL 33912-4318

Mailing address

13681 Metropolis Ave
Fort Myers, FL 33912-4318
Phone (239) 768-2323

Other identifiers 1

IdentifierTypeStateIssuer
CB8440OtherFLRAILROAD MEDICARE

Other names 1

  • The Podiatry Center Doing business as

National Provider Directory

National Provider Directory

Locations

106 Hancock Bridge Pkwy W
#G22
Cape Coral, FL 33991

80 Hancock Bridge Pkwy W
Cape Coral, FL 33991
Phone (239) 573-0211

3600 Broadway
Ste C
Fort Myers, FL 33901

13681 Metropolis Ave
South Fort Myers, FL 33912
Phone (239) 768-2323

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1073536207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13681 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124318",
            "telephone_number": "239-768-2323",
            "fax_number": "239-768-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124318",
            "telephone_number": "239-768-2323",
            "fax_number": "239-768-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD M IMANUEL DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "IMANUEL",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-768-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB8440",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Podiatry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.