NPIMap

Organization Active NPI

Abbott Kagan II, M.D., P.a.

Doing business as A. Kagan Orthopedics & Sports Medicine

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1235230087
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ABBOTT KAGAN II, M.D., P.A.
Doing business as
A. Kagan Orthopedics & Sports Medicine
Practice address
8710 College Pkwy
Ft. Myers, FL 33919
Phone
(239) 482-8788
Fax
(239) 482-1566
NPI assigned
Sep 26, 2006
Last updated
May 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Mrs. Stacy Lee Daubenberger
Title
Insurance/Billing Manager
Phone
(239) 482-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

8710 College Pkwy
Ft. Myers, FL 33919

Mailing address

8710 College Pkwy
Ft. Myers, FL 33919
Phone (239) 482-8788

Other names 1

  • A. Kagan Orthopedics & Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040207000116 FL Part B Supplier - Clinic/Group Practice 9537052949 Receives reassigned benefits from 12 practitioners
Practice locations: Cape Coral, FL; Fort Myers, FL
O20100930089680 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9537052949 Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

5 Nicholas Pkwy W
Cape Coral, FL 33991
Phone (239) 458-3800

8710 College Pkwy
Fort Myers, FL 33919
Phone (239) 482-8788

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1235230087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 COLLEGE PKWY",
            "city": "FT. MYERS",
            "state": "FL",
            "postal_code": "33919",
            "telephone_number": "239-482-8788",
            "fax_number": "239-482-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 COLLEGE PKWY",
            "city": "FT. MYERS",
            "state": "FL",
            "postal_code": "33919",
            "telephone_number": "239-482-8788",
            "fax_number": "239-482-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTT KAGAN II, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "DAUBENBERGER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "INSURANCE/BILLING MANAGER",
        "authorized_official_telephone_number": "239-482-8788",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A. Kagan Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.