Individual provider Active NPI

Jason Edward Spring, DO

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1114011459
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS20329 Issued in FL
Practice address
13691 Metro Pkwy Ste 130
Fort Myers, FL 33912-4321
Phone
(239) 540-0081
Fax
(239) 540-0023
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9497 CA
Sports Medicine (Family Medicine) Physician 207QS0010X 20A9497 CA
Family Medicine Physician 207Q00000X OS20329 FL Primary

Addresses

Primary practice location

13691 Metro Pkwy Ste 130
Fort Myers, FL 33912-4321

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (239) 217-4470

Other practice location 1

220 Rotanzi St
Ramona, CA 92065-2583
Phone (760) 736-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091022000400 CA Practitioner - Family Practice 5991842023 Reassigns benefits to 1 organization
I20240530000299 FL Practitioner - Family Practice 5991842023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

126 Del Prado Blvd N
Suite 103
Cape Coral, FL 33909-2713
Phone (239) 217-4470

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9497CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Nov 6, 2017 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Nov 6, 2017 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

126 Del Prado Blvd N
Ste 103
Cape Coral, FL 33909
Phone (239) 217-4470

323 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 574-3382

323 Del Prado Blvd S
Ste 101
Cape Coral, FL 33990
Phone (239) 772-4510

13691 Metro Pkwy
Ste 130
Fort Myers, FL 33912
Phone (239) 349-3539

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jason.spring.1@4290.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1114011459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "239-217-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 130",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124321",
            "telephone_number": "239-540-0081",
            "fax_number": "239-540-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Rotanzi St",
            "address_purpose": "LOCATION",
            "city": "Ramona",
            "state": "CA",
            "postal_code": "920652583",
            "country_code": "US",
            "telephone_number": "760-736-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRING",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9497",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A9497",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS20329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.