Collier Anesthesia Pain LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

COLLIER ANESTHESIA PAIN LLC

Practice address

4035 Evans Ave
Suite 1
Fort Myers, FL 33901-9308

Phone

(239) 939-7375

Fax

(239) 939-5105

NPI assigned

May 19, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wayne Isaacson

Title

MD

Phone

(239) 939-7375

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Michael Gerald Barile, MD

  • Pain Medicine (Anesthesiology) Physician
  • Naples, FL
  • NPI 1669463501
  NPD (past)
• Sharon Lyn Spoede, ARNP

  • Nurse Practitioner
  • Naples, FL
  • NPI 1225340854
  NPD (past)
• Heather Robbins, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1023567179
  NPD (past)
• Laura Cameron Roberts, FNP-C, ACNP

  • Critical Care Medicine Nurse Practitioner
  • Tyler, TX
  • NPI 1942228937
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306899349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638900",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638900",
            "telephone_number": "239-939-7375",
            "fax_number": "239-939-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 EVANS AVE",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019308",
            "telephone_number": "239-939-7375",
            "fax_number": "239-939-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER ANESTHESIA PAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "239-939-7375"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "94852",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Oaks Colle, D.O.
• College Park Rehabilitation and Nursing Center LLC (Ambassador Healthcare at College Park)
• College Parkway Chiropractic Health Center LLC (College Parkway Health Center)
• College Parkway Health Center LLC
• Judith Collette, ARNP
• Ava Collier
• Gabriela Collier
• Michael Emmit Collier, MD
• Cecelia Anne Collins, R.D., R.N.
• Danielle Collins, DO

• Pain Medicine (Anesthesiology) Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.