Active NPI
Carolyn M. Carey, MD, PA
Doing business as Center for Pediatric Neurosurgery & Neuroscience
- Neurological Surgery Physician
- Fort Myers, FL
National Provider Identifier
1336340934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- CAROLYN M. CAREY, MD, PA
- Doing business as
- Center for Pediatric Neurosurgery & Neuroscience
- Practice address
- 4550 Colonial Blvd
Fort Myers, FL 33912-1017 - Phone
- (727) 767-8181
- Fax
- (727) 767-8030
- NPI assigned
- May 30, 2007
- Last updated
- Apr 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Hancock
- Title
- Administrator
- Phone
- (727) 767-3808
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary | |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | NU |
Addresses
Primary practice location
4550 Colonial Blvd
Fort Myers, FL 33912-1017
Mailing address
601 5TH St S
Suite 511
St Petersburg, FL 33701-4804
Phone (727) 767-8181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273786802 | Medicaid | FL |
Other names 1
- Center for Pediatric Neurosurgery & Neuroscience
National Provider Directory
National Provider DirectoryLocations
4550 Colonial Blvd
Fort Myers, FL 33966
Phone (239) 931-5700
601 5th St S
Ste 511
St Petersburg, FL 33701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302566400000",
"number": "1336340934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 5TH ST S",
"address_2": "SUITE 511",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014804",
"telephone_number": "727-767-8181",
"fax_number": "727-767-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339121017",
"telephone_number": "727-767-8181",
"fax_number": "727-767-8030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLYN M. CAREY, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2011-04-12",
"status": "A",
"authorized_official_last_name": "HANCOCK",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "727-767-3808"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273786802",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Center for Pediatric Neurosurgery & Neuroscience",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.