Elaine M Fournier, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9100674 Issued in FL

Practice address

2780 Cleveland Ave
Suite 819
Fort Myers, FL 33901-5858

Phone

(239) 343-3800

Fax

(239) 343-3993

NPI assigned

Feb 28, 2006

Last updated

Apr 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10021331

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

• South Florida Surgical Associates, LLC

  • Surgery Physician
  • Fort Myers, FL
  • NPI 1417604018
  Medicare reassignment
• Florida Neurosurgical Associates PA

  • Neurological Surgery Physician
  • Gainesville, FL
  • NPI 1639392004
  NPD (past)
• Prohealth Select, Inc.

  • Nurse Practitioner
  • Boca Raton, FL
  • NPI 1417485053

  Surgical

  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1427024579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-424-1400",
            "fax_number": "239-424-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 CLEVELAND AVE",
            "address_2": "SUITE 819",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015858",
            "telephone_number": "239-343-3800",
            "fax_number": "239-343-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "ELAINE",
        "middle_name": "M",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9100674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290484500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forward Living Therapy Services, LLC
• Joan E Foss
• Dominique Foster, FNP
• Emily Hanna Foster, DMD
• Robert Fouda
• Yamil David Fourzali Sabbag, M.D.
• Ruth E Foust, PT, DSC, PCS
• Carla Fowell, MS
• Fowler Eyecare PL (eyes etc optical)
• Ann Fowler, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.