Active NPI
Sanibel Medical, Inc.
- Family Medicine Physician
- Sanibel, FL
National Provider Identifier
1376680041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SANIBEL MEDICAL, INC.
- Practice address
- 2499 Palm Ridge Rd
Sanibel, FL 33957-3201 - Phone
- (239) 395-2005
- Fax
- (239) 395-0042
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Gary N Wright, M.D.
- Title
- Medical Doctor
- Phone
- (239) 395-2005
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040805000779 | FL | Part B Supplier - Clinic/Group Practice | 8426029091 |
Receives reassigned benefits from 1 practitioner Practice locations: Sanibel, FL |
National Provider Directory
National Provider DirectoryLocations
2499 Palm Ridge Rd
Sanibel, FL 33957
Phone (239) 395-2005
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2499 Palm Ridge Rd
Sanibel, FL 33957-3201
Mailing address
PO Box 628
Sanibel, FL 33957-0628
Phone (239) 395-2005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2011.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313366400000",
"number": "1376680041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 628",
"city": "SANIBEL",
"state": "FL",
"postal_code": "339570628",
"telephone_number": "239-395-2005",
"fax_number": "239-395-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 PALM RIDGE RD",
"city": "SANIBEL",
"state": "FL",
"postal_code": "339573201",
"telephone_number": "239-395-2005",
"fax_number": "239-395-0042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANIBEL MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2011-08-15",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "239-395-2005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanibel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.