Carmen Michelle Litzler PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

CARMEN MICHELLE LITZLER PA

Practice address

13731 Metropolis Ave
Fort Myers, FL 33912-7150

Phone

(239) 565-0978

NPI assigned

May 5, 2022

Organization subpart

No

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

Authorized official

Name

Minutha Ashwin

Title

Credentialing Specialist

Phone

(615) 488-0706

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1407592272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13731 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127150",
            "telephone_number": "239-565-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127150",
            "telephone_number": "239-565-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN MICHELLE LITZLER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "ASHWIN",
        "authorized_official_first_name": "MINUTHA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "615-488-0706"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004727200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Carlin, MD
• Michael L Carlino, MD
• Jacqueline Carlson, NP
• Kylie Carlson
• David Gregory Carlton, D.D.S.
• Ana I Carmona
• Corinne Ann Carmona, A.P.N
• Marta C Carmona, LMHC
• Emma Carney
• Hilary Carney, LCSW

• Medical Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.