Active NPI
Nicholas Albert Garcia, M.D.
- Plastic and Reconstructive Surgery Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME162089
- Practice address
- 12998 S Cleveland Ave
Fort Myers, FL 33907-3849 - Phone
- (239) 482-1900
- NPI assigned
- Apr 6, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME162089 | FL | Primary |
Addresses
Primary practice location
12998 S Cleveland Ave
Fort Myers, FL 33907-3849
Mailing address
3731 Blue Heron Dr
Fort Myers, FL 33908-4109
Phone (305) 467-4767
Other practice location 1
1611 NW 12th Ave
Department of Surgery
Miami, FL 33136-1005
Phone (305) 467-4767
Other practice location 2
1010 S Federal Hwy Ste 1010
Delray Beach, FL 33483-5132
Phone (561) 944-7756
Other practice location 3
420 Delaware St SE
MMC 195
Minneapolis, MN 55455
Phone (612) 624-4777
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME162089 | FL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralph Garramone MD PA | Current | Accepting new patients |
Locations
12998 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 482-1900
Interoperability endpoints
- nicholas.garcia@hca4.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Fort Myers, FL
- NPI 1962775353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1306231345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3731 BLUE HERON DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084109",
"telephone_number": "305-467-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12998 S CLEVELAND AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073849",
"telephone_number": "239-482-1900"
}
],
"practiceLocations": [
{
"address_1": "1611 NW 12th Ave",
"address_2": "Department of Surgery",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-467-4767",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 S Federal Hwy Ste 1010",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334835132",
"country_code": "US",
"telephone_number": "561-944-7756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 Delaware St SE",
"address_2": "MMC 195",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "55455",
"country_code": "US",
"telephone_number": "612-624-4777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "NICHOLAS",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME162089",
"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 Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.