Individual provider Active NPI

Richard D Ornato, PAC

  • Medical Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1093707341
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9101318 Issued in FL
Practice address
9400 Gladiolus Dr
Suite 250
Fort Myers, FL 33908-6699
Phone
(239) 939-9939
Fax
(239) 931-5060
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9101318 FL Primary

Addresses

Primary practice location

9400 Gladiolus Dr
Suite 250
Fort Myers, FL 33908-6699

Mailing address

7152 Coca Sabal LN
Fort Myers, FL 33908-4263
Phone (239) 939-9939

Other identifiers 3

IdentifierTypeStateIssuer
P00301180OtherFLRR MEDICARE
291197300MedicaidFL
Y06C9OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000097 FL Practitioner - Physician Assistant 9638115447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101318FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince Jul 15, 2017 Accepting new patients
Gastro Health LLC CurrentSince Jul 15, 2017 Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939

9400 Gladiolus Dr
Ste 250
Fort Myers, FL 33908
Phone 2399399939 ext. 248

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1093707341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7152 COCA SABAL LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084263",
            "telephone_number": "239-939-9939",
            "fax_number": "239-931-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "SUITE 250",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-939-9939",
            "fax_number": "239-931-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNATO",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00301180",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291197300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Y06C9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.