Active NPI
Eric Concepcion
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN9358898
- Practice address
- 4048 Evans Ave
Suite 303
Fort Myers, FL 33901-9322 - Phone
- (239) 332-7246
- NPI assigned
- Feb 7, 2016
- Last updated
- Mar 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN9358898 | FL | Primary |
| Registered Nurse | 163W00000X | RN9358898 | FL |
Addresses
Primary practice location
4048 Evans Ave
Suite 303
Fort Myers, FL 33901-9322
Mailing address
610 93Rd Ave N
Naples, FL 34108-2439
Other names 1
- Eric Concepcion
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Wyandotte Hospital
Practice addresses (Care Compare)
2333 Biddle Ave
Wyandotte, MI 48192-4668
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9358898 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Wyandotte Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients |
Locations
2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
Interoperability endpoints
- econception442109@direct.hfhs.org
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Wyandotte, MI
- NPI 1386685212
Nurse Anesthetist, Certified Registered
-
- Obstetrics & Gynecology Physician
- Wyandotte, MI
- NPI 1457586646
-
- Nurse Practitioner
- Trenton, MI
- NPI 1144634403
Nurse Anesthetist, Certified Registered
-
dba Henry Ford Health Center-Brownstown Pharmacy
- Community/Retail Pharmacy
- Brownstown TWP, MI
- NPI 1356356984
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Health Center Brownstown
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
-
- General Acute Care Hospital
- Wyandotte, MI
- NPI 1992725352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1093173940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 93RD AVE N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "SUITE 303",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019322",
"telephone_number": "239-332-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCEPCION",
"first_name": "ERIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-07",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN9358898",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9358898",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIC",
"last_name": "CONCEPCION",
"credential": "CRNA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Myers, FL
- Lisandra Companioni, DMD
- Complete Care Home Health Agency Inc
- Comprehensive Holistic Rehab Clinic (All in one Urgent Care)
- Comprehensive Wound Care Centers LLC
- Yenma Concepcion Vazquez, MA 61848
- Concepts in Rehab Inc
- Concierge Care of Fort Myers, LLC (Concierge Care)
- Concierge Orthopedic Solutions LLC
- Francisco Conde Perez, FNP
- Phyllis Ann Condon, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.