Maternal Fetal Medicine of Southwest Florida PA

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA PA

Practice address

9981 Healthpark Circle
Suite 159
Ft Myers, FL 33908

Phone

(239) 481-5477

Fax

(239) 481-5892

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

Marty Menna

Title

Executive Assistant

Phone

(239) 333-3826

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Traci Ann Corby, ARNP

  • Women's Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1285704858
  NPD (past)
• Mark Carl Williams, M.D.

  • Maternal & Fetal Medicine Physician
  • Fort Myers, FL
  • NPI 1932183951
  NPD (past)
• Norman Brian Duerbeck, MD

  • Maternal & Fetal Medicine Physician
  • San Diego, CA
  • NPI 1417028275
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1326018706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 COLLEGE PKWY",
            "address_2": "SUITE 205",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33919",
            "telephone_number": "239-333-3826",
            "fax_number": "239-333-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 HEALTHPARK CIRCLE",
            "address_2": "SUITE 159",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-481-5477",
            "fax_number": "239-481-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL FETAL MEDICINE OF SOUTHWEST FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "MENNA",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "239-333-3826"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dante John Mastrangelo
• Sophia Mastros
• Lisett Mata Alvarez, DDS
• Otakhon Matchanov, MD
• Nathalie Mateo
• Melissa L. Matherson, LMFT
• Mini Mathew, APRN
• Debra Mathews
• John Mathieu, CRNA
• Melissa Anne Matick, DMD

• Maternal & Fetal Medicine Physician in Ft Myers, FL
• Providers in Ft Myers, FL by specialty
• Maternal & Fetal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.