Sandra P Desai DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2833 Issued in FL

Legal business name

SANDRA P DESAI DPM

Practice address

12734 Kenwood LN
Suite 44
Fort Myers, FL 33907-5666

Phone

(239) 936-2454

Fax

(239) 936-1974

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Laura Toadvine

Title

Office Manager

Phone

(239) 936-2454

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lee Podiatry Group Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Sandra P Desai, DPM

  • Podiatrist
  • Cape Coral, FL
  • NPI 1316981368
  Medicare reassignment NPD
• Sudhanshu Balwantrai Desai, DDS

  • General Practice Dentistry
  • Cape Coral, FL
  • NPI 1205910858
  NPD (past)
• Anne B. Merwin, M.D.

  • Anesthesiology Physician
  • Coral Gables, FL
  • NPI 1447391826
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1104867050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12734 KENWOOD LN",
            "address_2": "SUITE 44",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075666",
            "telephone_number": "239-936-2454",
            "fax_number": "239-936-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12734 KENWOOD LN",
            "address_2": "SUITE 44",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075666",
            "telephone_number": "239-936-2454",
            "fax_number": "239-936-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA P DESAI DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "TOADVINE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-936-2454"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2833",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2882",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340439100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lynn Sanders, APRN
• Jill Dea Sanders, PHD
• Ellen Robin Sandler, LMT
• Eric S. Sandler, MD
• Sandpiper Speech and Language Therapy LLC
• Harry Sands
• Sandy Martin Dermatology LLC
• Joseph Michael Sanfilippo, RN
• Michele Sanfilippo, LMHC
• Alexa Jade Sanger

• Podiatrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.