Southwest Independent Practice Assoc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTHWEST INDEPENDENT PRACTICE ASSOC

Practice address

5238 Mason Corbin CT
Suite 102
Fort Myers, FL 33907-7738

Phone

(239) 936-5400

Fax

(239) 936-9572

NPI assigned

Dec 6, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven E Holberg, DPMNPI 1063483295

Title

President Foot and Ankle Group

Phone

(239) 936-5400

Specialties & licenses 1

Addresses

Other names 1

• SWIPA Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Eric Holberg, D.P.M.

  • Podiatrist
  • Fort Myers, FL
  • NPI 1063483295
  Authorized official Same address or phone

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1184807745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 MASON CORBIN CT",
            "address_2": "SUITE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077738",
            "telephone_number": "239-936-5400",
            "fax_number": "239-936-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 MASON CORBIN CT",
            "address_2": "SUITE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077738",
            "telephone_number": "239-936-5400",
            "fax_number": "239-936-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST INDEPENDENT PRACTICE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "HOLBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT FOOT AND ANKLE GROUP",
        "authorized_official_telephone_number": "239-936-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWIPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Podiatrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.