Organization Active NPI

Marc a Nathanson DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Lehigh Acres, FL
National Provider Identifier
1083826614
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2709 Issued in FL
Legal business name
MARC A NATHANSON DPM PA
Practice address
60 Westminster St N Ste F
Lehigh Acres, FL 33936-6518
Phone
(239) 481-7000
Fax
(239) 481-8150
NPI assigned
May 4, 2007
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Marc A Nathanson, DPMNPI 1356307045
Title
Owner
Phone
(239) 481-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2709 FL Primary

Addresses

Primary practice location

60 Westminster St N Ste F
Lehigh Acres, FL 33936-6518

Mailing address

8851 Boardroom Cir
Fort Myers, FL 33919-4888
Phone (239) 481-7000

National Provider Directory

National Provider Directory

Locations

60 Westminster St N
Ste F
Lehigh Acres, FL 33936
Phone (239) 368-5600

13240 N Cleveland Ave
North Fort Myers, FL 33903
Phone (239) 689-8910

Practitioners & affiliated clinicians

Practitioners 1

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1083826614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 BOARDROOM CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194888",
            "telephone_number": "239-481-7000",
            "fax_number": "239-481-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WESTMINSTER ST N STE F",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366518",
            "telephone_number": "239-481-7000",
            "fax_number": "239-481-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC A NATHANSON DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "NATHANSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-481-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.