NPIMap

Organization Active NPI

Gulf Coast Cardiothoracic Surgeons

  • Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1275573131
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GULF COAST CARDIOTHORACIC SURGEONS
Practice address
8010 Summerlin Lakes Dr Ste 100
Fort Myers, FL 33907-1849
Phone
(239) 939-1767
Fax
(239) 939-5895
NPI assigned
Jun 8, 2006
Last updated
May 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Dr. Michael L Novotney, M.D.NPI 1659365435
Title
Managing Partner
Phone
(239) 939-1767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

8010 Summerlin Lakes Dr Ste 100
Fort Myers, FL 33907-1849

Mailing address

8010 Summerlin Lakes Dr
Suite 100
Ft Myers, FL 33907-1849
Phone (239) 939-1767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824001262 FL Part B Supplier - Clinic/Group Practice 2567436587 Receives reassigned benefits from 14 practitioners
Practice locations: Bonita Springs, FL; Cape Coral, FL; Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

24301 Walden Center Dr
Ste 102
Bonita Springs, FL 34134
Phone (239) 260-3127

1003 Del Prado Blvd S
Ste 303
Cape Coral, FL 33990
Phone (239) 689-3843

8010 Summerlin Lakes Dr
Fort Myers, FL 33907
Phone (239) 939-1767

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1275573131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 SUMMERLIN LAKES DR",
            "address_2": "SUITE 100",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339071849",
            "telephone_number": "239-939-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 SUMMERLIN LAKES DR STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071849",
            "telephone_number": "239-939-1767",
            "fax_number": "239-939-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST CARDIOTHORACIC SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "NOVOTNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "239-939-1767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "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 May 13, 2022; 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.