Organization Active NPI

Ekc Medical Services PA

  • Family Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1396217865
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EKC MEDICAL SERVICES PA
Practice address
290 Nicholas Parkway NW
Suite 1
Cape Coral, FL 33991-3804
Phone
(239) 573-1152
Fax
(239) 573-1360
NPI assigned
Dec 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Johanna C Alvarez, NPNPI 1255066825
Title
Owner
Phone
(239) 994-8615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Hypertension Specialist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0005X

Addresses

Primary practice location

290 Nicholas Parkway NW
Suite 1
Cape Coral, FL 33991-3804

Mailing address

290 Nicholas Pkwy NW Ste 1
Cape Coral, FL 33991-3804
Phone (239) 573-1152

Other names 1

  • Cape Doc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190218001968 FL Part B Supplier - Clinic/Group Practice 2365780368 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Coral, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2161284Ekc Medical Services, PA290 Nicholas Pkwy NW - Ste 1, Cape Coral, FL 33991Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

290 Nicholas Pkwy NW
Ste 1
Cape Coral, FL 33991
Phone (239) 573-1152

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1396217865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 NICHOLAS PKWY NW STE 1",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913804",
            "telephone_number": "239-573-1152",
            "fax_number": "239-573-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NICHOLAS PARKWAY NW",
            "address_2": "SUITE 1",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913804",
            "telephone_number": "239-573-1152",
            "fax_number": "239-573-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKC MEDICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-994-8615",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Doc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.