Organization Active NPI

Floridagulfcoast Earnoseandthroat LLC

  • Otolaryngology Physician
  • Naples, FL
National Provider Identifier
1275605131
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
FLORIDAGULFCOAST EARNOSEANDTHROAT LLC
Practice address
2180 Immokalee Rd Ste 101
Naples, FL 34110-1422
Phone
(239) 514-2225
Fax
(239) 514-2280
NPI assigned
Nov 15, 2006
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Amy E Lounds
Title
Practice Administrator
Phone
(239) 514-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

2180 Immokalee Rd Ste 101
Naples, FL 34110-1422

Mailing address

2180 Immokalee Rd Ste 101
Naples, FL 34110-1422
Phone (239) 514-2225

Other practice location 1

9250 Corkscrew Rd Ste 3
Estero, FL 33928-3216
Phone (239) 514-2225

Other practice location 2

1000 9th St N Ste 201
Naples, FL 34102-5481
Phone (239) 514-2225

Other practice location 3

6376 Pine Ridge Rd Unit 450
Naples, FL 34119-3928
Phone (239) 514-2225

Other identifiers 1

IdentifierTypeStateIssuer
94911OtherFLBLUE SHIELD PROVIDER NUMB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050804000826 FL Part B Supplier - Clinic/Group Practice 0042249625 Receives reassigned benefits from 19 practitioners
Practice locations: Estero, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

1000 9th St N
Ste 202
Naples, FL 34102
Phone (239) 514-2225

2180 Immokalee Rd
Ste 101
Naples, FL 34110
Phone (239) 514-2225

6376 Pine Ridge Rd
Naples, FL 34119
Phone (239) 239-4221

6376 Pine Ridge Rd
Unit 450
Naples, FL 34119
Phone (239) 514-2225

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1275605131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 IMMOKALEE RD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101422",
            "telephone_number": "239-514-2225",
            "fax_number": "239-514-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 IMMOKALEE RD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101422",
            "telephone_number": "239-514-2225",
            "fax_number": "239-514-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 Corkscrew Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339283216",
            "country_code": "US",
            "telephone_number": "239-514-2225",
            "fax_number": "239-514-2280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 9th St N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025481",
            "country_code": "US",
            "telephone_number": "239-514-2225",
            "fax_number": "239-514-2280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6376 Pine Ridge Rd Unit 450",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341193928",
            "country_code": "US",
            "telephone_number": "239-514-2225",
            "fax_number": "239-514-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDAGULFCOAST EARNOSEANDTHROAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "LOUNDS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "239-514-2225"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "94911",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.