Usbd Hospitalists & Consultants Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

ME95171 Issued in FL

Legal business name

USBD HOSPITALISTS & CONSULTANTS INC

Practice address

14015 Danpark Loop
Fort Myers, FL 33912-6854

Phone

(239) 225-1778

Fax

(239) 603-7264

NPI assigned

Jul 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Shaheen Faruque, M.D.,

Title

Vice President

Phone

(239) 225-1778

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 3

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

• Katie E Drake, D.O.

  • Family Medicine Physician
  • Tarpon Springs, FL
  • NPI 1174504484
  NPD (past)
• Nadine Elizabeth Gordon, NP

  • Adult Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1306943758
  NPD (past)
• Marie Veronica Scott, NP

  • Adult Health Nurse Practitioner
  • Celebration, FL
  • NPI 1467943803
  NPD (past)

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1386958809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 DANPARK LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339126854",
            "telephone_number": "239-225-1778",
            "fax_number": "239-603-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 DANPARK LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339126854",
            "telephone_number": "239-225-1778",
            "fax_number": "239-603-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USBD HOSPITALISTS & CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "FARUQUE",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-225-1778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "ME95171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIN",
            "identifier": "15587",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280098500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386744639",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AD052Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K8680",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.