Organization Active NPI

Sanibel Medical, Inc.

  • Family Medicine Physician
  • Sanibel, FL
National Provider Identifier
1376680041
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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.NPI 1841212750
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 IDStateProvider typePAC IDDetails
O20040805000779 FL Part B Supplier - Clinic/Group Practice 8426029091 Receives reassigned benefits from 1 practitioner
Practice locations: Sanibel, FL

National Provider Directory

National Provider Directory

Locations

2499 Palm Ridge Rd
Sanibel, FL 33957
Phone (239) 395-2005

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.