Organization Active NPI

Drew Medical Associates PA

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1104001353
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME71611 Issued in FL
Legal business name
DREW MEDICAL ASSOCIATES PA
Practice address
11181 Health Park Blvd
Suite 3000
Naples, FL 34110-5738
Phone
(239) 598-5755
Fax
(239) 430-5559
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Daniel J Drew, MDNPI 1912060195
Title
President
Phone
(239) 598-5755

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME71611 FL Primary

Addresses

Primary practice location

11181 Health Park Blvd
Suite 3000
Naples, FL 34110-5738

Mailing address

11181 Health Park Blvd
Suite 3000
Naples, FL 34110-5738
Phone (239) 598-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080310000264 FL Part B Supplier - Clinic/Group Practice 2668557034 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

3372 Woods Edge Cir
Ste 103
Bonita Springs, FL 34134
Phone (239) 598-5755

11181 Health Park Blvd
Ste 2265
Naples, FL 34110
Phone (219) 308-3494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1104001353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD",
            "address_2": "SUITE 3000",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105738",
            "telephone_number": "239-598-5755",
            "fax_number": "239-430-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD",
            "address_2": "SUITE 3000",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105738",
            "telephone_number": "239-598-5755",
            "fax_number": "239-430-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-598-5755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME71611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.