Collier Endoscopy & Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AS14960420 Issued in FL

Legal business name

COLLIER ENDOSCOPY & SURGERY CENTER

Practice address

3439 Pine Ridge Rd
Naples, FL 34109-3884

Phone

(239) 275-6678

Fax

(239) 275-5216

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Megan Alessandra Evetts

Title

Biller

Phone

(239) 593-9599

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Collier Endoscopy and Surgery CenterCCN 10C0001352

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 3

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

• Catherine A Ramsey, CRNA

  • Certified Registered Nurse Anesthetist
  • Naples, FL
  • NPI 1346231131

  FL

  Medicare reassignment NPD
• Jane Smith Greene, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenville, SC
  • NPI 1336107861

  FL

  Medicare reassignment NPD
• Shardul Ashwin Nanavati, M.D.

  • Gastroenterology Physician
  • Naples, FL
  • NPI 1811906779
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1154538544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093884",
            "telephone_number": "239-593-9599",
            "fax_number": "239-593-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093884",
            "telephone_number": "239-275-6678",
            "fax_number": "239-275-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER ENDOSCOPY & SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "EVETTS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ALESSANDRA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "239-593-9599",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "AS14960420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070928000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collier County School Board
• Collier Dental Studio
• Collier Educational Initiatives Inc
• Collier Emergency Group LLC
• Collier Emergency Specialists LLC
• Collier Foot and Ankle Specialists
• Collier Health Care Inc
• Collier Health Home Care Agency LLC
• Collier Health Service, Inc
• Collier Health Service, Inc

• All providers in Naples, FL
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.