Active NPI
Consultants in Gastroenterology
- Gastroenterology Physician
- Fort Myers, FL
National Provider Identifier
1174610778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2083199 | Gastroenterology Consultants of Southwest Florida | Compliance | Jun 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.