Individual provider Active NPI

Joseph P. Santini, PA-C

  • Physician Assistant
  • Lehigh Acres, FL
National Provider Identifier
1386695211
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1957 Issued in FL
Practice address
60 Westminster St N
Lehigh Acres, FL 33936-6518
Phone
(239) 368-9300
Fax
(239) 368-9308
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10005012 WA
Physician Assistant 363A00000X PA1957 FL Primary

Addresses

Primary practice location

60 Westminster St N
Lehigh Acres, FL 33936-6518

Mailing address

15051 S. Tamiami Trail
Suite 203
Fort Myers, FL 33908
Phone (239) 437-8810

Other identifiers 1

IdentifierTypeStateIssuer
E6835WOtherFLPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1957FLMDPhysician Assistant
PA10005012WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jay S. Herbst M.D., P.a. PastSince Jul 28, 2019 Accepting new patients
Cary L Dunn M D P a Past Accepting new patients
Victor R. Michalak Past Accepting new patients
South Gulf Coast Emergency Physicians PA Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1386695211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15051 S. TAMIAMI TRAIL",
            "address_2": "SUITE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-437-8810",
            "fax_number": "239-313-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WESTMINSTER ST N",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366518",
            "telephone_number": "239-368-9300",
            "fax_number": "239-368-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTINI",
        "first_name": "JOSEPH",
        "middle_name": "P.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10005012",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA1957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "E6835W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.