Active NPI
Daniel M Delmont
- Physician Assistant
- Fort Myers, FL
National Provider Identifier
1205859519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9102178
- Practice address
- 3210 Cleveland Ave Ste 100
Fort Myers, FL 33901-7182 - Phone
- (239) 936-6778
- NPI assigned
- Jul 26, 2006
- Last updated
- Mar 17, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102178 | FL | Primary |
Addresses
Primary practice location
3210 Cleveland Ave Ste 100
Fort Myers, FL 33901-7182
Mailing address
3210 Cleveland Ave Ste 100
Fort Myers, FL 33901-7182
Phone (239) 936-6778
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0905529 | Other | FL | UHC |
| 57526 | Other | FL | BCBS |
| 592207264E | Other | FL | HUMANA |
| 0664623 | Other | FL | AETNA HMO |
| 252112100 | Medicaid | FL | |
| 5522534 | Other | FL | AETNA PPO |
| 592207264001 | Other | FL | CHAMPUS |
| 9081708001 | Other | FL | CIGNA HMO |
| 225715 | Other | FL | GHI PPO |
| 592207264 | Other | FL | CIGNA PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268784000000",
"number": "1205859519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 CLEVELAND AVE STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339017182",
"telephone_number": "239-936-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 CLEVELAND AVE STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339017182",
"telephone_number": "239-936-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELMONT",
"first_name": "DANIEL",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2010-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0905529",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "57526",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "592207264E",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0664623",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252112100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5522534",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "592207264001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO",
"identifier": "9081708001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "225715",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "592207264",
"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 Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.