Organization Active NPI

Seth S Schurman MD PA

  • Allergy & Immunology Physician
  • Fort Myers, FL
National Provider Identifier
1134319312
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME22528 Issued in FL
Legal business name
SETH S SCHURMAN MD PA
Practice address
2684 Swamp Cabbage CT
Fort Myers, FL 33901-9332
Phone
(239) 939-2828
Fax
(239) 939-4433
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Seth Stanley Schurman, M.D.NPI 1891799706
Title
President
Phone
(239) 939-2828

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
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X ME22528 FL Primary

Addresses

Primary practice location

2684 Swamp Cabbage CT
Fort Myers, FL 33901-9332

Mailing address

2684 Swamp Cabbage CT
Fort Myers, FL 33901-9332
Phone (239) 939-2828

Other identifiers 1

IdentifierTypeStateIssuer
K3346OtherFLMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100910000988 FL Part B Supplier - Clinic/Group Practice 8729103924 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

2684 Swamp Cabbage Ct
Ste C
Fort Myers, FL 33901

12601 World Plaza Ln
Bldg 52
Fort Myers, FL 33907
Phone (239) 939-2828

1052 6th Ave N
Naples, FL 34102
Phone (239) 262-0505

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1134319312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2684 SWAMP CABBAGE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019332",
            "telephone_number": "239-939-2828",
            "fax_number": "239-939-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2684 SWAMP CABBAGE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019332",
            "telephone_number": "239-939-2828",
            "fax_number": "239-939-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH S SCHURMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "SCHURMAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-939-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME22528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K3346",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.