Active NPI
Jose M Almanzar, PA-C
- Physician Assistant
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3284
- Practice address
- 3164 Palm Beach Blvd Ste 104-D
Fort Myers, FL 33916-1579 - Phone
- (239) 590-8399
- Fax
- (239) 264-4982
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3284 | FL | |
| Surgical Physician Assistant | 363AS0400X | 3284 | FL | |
| Physician Assistant | 363A00000X | PA3284 | FL | Primary |
Addresses
Primary practice location
3164 Palm Beach Blvd Ste 104-D
Fort Myers, FL 33916-1579
Mailing address
3164 Palm Beach Blvd Ste 104-D
Fort Myers, FL 33916-1579
Phone (239) 590-8399
Other practice location 1
1713 SW Health Pkwy Ste 1
Naples, FL 34109
Phone (239) 597-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292748900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050309000154 | FL | Practitioner - Physician Assistant | 7113971508 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3284 | FL | MD | Physician Assistant |
| 3284 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Oasis Urgent Care, PLLC | Physician Assistant | Current | Accepting new patients |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Alta Health Group LLC | Past | Accepting new patients | |
| Leeland ER SVCS Partnership LLC | Past | Accepting new patients | |
| Emergency Physicians of Naples PLLC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Oceanwind ER SVCS Partnership LLC | Past | Accepting new patients |
Locations
3164 Palm Beach Blvd
Fort Myers, FL 33916
Phone (239) 285-6649
3164 Palm Beach Blvd
Ste 104D
Fort Myers, FL 33916
Phone (239) 590-8399
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
7385 Radio Rd
Ste 104D
Naples, FL 34104
Phone (239) 434-6000
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951
Interoperability endpoints
- https://api.platform.athenahealth.com/18228/brand/1/csg/1/fhir/r4
Organizations & group practices 10
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.
-
- Urgent Care Clinic/Center
- Fort Myers, FL
- NPI 1285193243
FL, Physician Assistant
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Family Medicine Physician
- Naples, FL
- NPI 1700133303
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1376592063
-
- Emergency Medicine Physician
- Lehigh Acres, FL
- NPI 1619926235
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1861410656
-
- Emergency Medicine Physician
- Lehigh Acres, FL
- NPI 1013965342
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1255389656
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Naples Urgent Care PL
Practice addresses (Care Compare)
1713 SW Health Pkwy
Suite 2
Naples, FL 34109-0502
Phone (239) 597-8000
3164 Palm Beach Blvd
Fort Myers, FL 33916-1579
Phone (239) 434-6000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1164569125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3164 PALM BEACH BLVD STE 104-D",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339161579",
"telephone_number": "239-590-8399",
"fax_number": "239-264-4982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3164 PALM BEACH BLVD STE 104-D",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339161579",
"telephone_number": "239-590-8399",
"fax_number": "239-264-4982"
}
],
"practiceLocations": [
{
"address_1": "1713 SW Health Pkwy Ste 1",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "34109",
"country_code": "US",
"telephone_number": "239-597-8000",
"fax_number": "239-316-1285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALMANZAR",
"first_name": "JOSE",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "3284",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "3284",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA3284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292748900",
"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 Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.