Individual provider Active NPI

Eric Stephen Trathen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1093963449
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3472 Issued in FL
Practice address
12630 World Plaza LN
Suite 70
Fort Myers, FL 33907-3987
Phone
(239) 689-1235
Fax
(239) 274-8319
NPI assigned
Aug 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3472 FL Primary

Addresses

Primary practice location

12630 World Plaza LN
Suite 70
Fort Myers, FL 33907-3987

Mailing address

12630 World Plaza LN
Suite 70
Fort Myers, FL 33907-3987
Phone (239) 689-1235

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110805000694 FL Practitioner - Podiatry 3870762974 Practice locations: Fort Myers, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12630 World Plaza LN
Fort Myers, FL 33907-3987
Phone (239) 810-9189

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of nail tissue470
Removal or shaving of skin growth120
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3472FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric S Trathen DPM Inc Foot & Ankle Surgery CurrentSince Dec 1, 2014 Accepting new patients

Locations

12630 World Plaza Ln
Ste 70
Fort Myers, FL 33907
Phone (239) 689-1235

Interoperability endpoints

  • Direct secure messaging: etrathen@est-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1093963449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 WORLD PLAZA LN",
            "address_2": "SUITE 70",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073987",
            "telephone_number": "239-689-1235",
            "fax_number": "239-274-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 WORLD PLAZA LN",
            "address_2": "SUITE 70",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073987",
            "telephone_number": "239-689-1235",
            "fax_number": "239-274-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRATHEN",
        "first_name": "ERIC",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.