Organization Active NPI

Consultants in Gastroenterology

  • Gastroenterology Physician
  • Fort Myers, FL
National Provider Identifier
1174610778
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CONSULTANTS IN GASTROENTEROLOGY
Practice address
5050 Mason Corbin CT
Fort Myers, FL 33907-4541
Phone
(239) 275-6678
Fax
(239) 275-5216
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rebecca Marano
Title
Billing Manager
Phone
(239) 275-6678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

5050 Mason Corbin CT
Fort Myers, FL 33907-4541

Mailing address

5050 Mason Corbin CT
Fort Myers, FL 33907-4541
Phone (239) 275-6678

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2083199Gastroenterology Consultants of Southwest Florida5050 Mason Corbin CT, Fort Myers, FL 33907ComplianceJun 10, 2028

National Provider Directory

National Provider Directory

Locations

26800 Tamiami Trl
Ste 220
Bonita Spgs, FL 34134

707 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 278-0330

14171 Metropolis Ave
Ste 203
Fort Myers, FL 33912
Phone (239) 939-1518

2525 Harbor Blvd
Ste 314
Pt Charlotte, FL 33952
Phone (941) 625-1445

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174610778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 MASON CORBIN CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074541",
            "telephone_number": "239-275-6678",
            "fax_number": "239-275-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 MASON CORBIN CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074541",
            "telephone_number": "239-275-6678",
            "fax_number": "239-275-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARANO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "239-275-6678"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.