Organization Active NPI

Orthopedic Associates of Southwest Florida PA

  • Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1427046846
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS4788 Issued in FL
Legal business name
ORTHOPEDIC ASSOCIATES OF SOUTHWEST FLORIDA PA
Practice address
13691 Metro Pkwy
Suite 400
Fort Myers, FL 33912-4327
Phone
(239) 768-2272
Fax
(239) 768-5549
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Edward R Dupay Jr., D.O.
Title
President
Phone
(239) 768-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X OS4788 FL Primary

Addresses

Primary practice location

13691 Metro Pkwy
Suite 400
Fort Myers, FL 33912-4327

Mailing address

13691 Metro Pkwy
Suite 400
Fort Myers, FL 33912-4327
Phone (239) 768-2272

Other identifiers 5

IdentifierTypeStateIssuer
275660900MedicaidFL
1962490375OtherFLEDWARD DUPAY NPI
372238400MedicaidFL
1477541894OtherFLJAMES L OTIS NPI
046335300MedicaidFL

National Provider Directory

National Provider Directory

Locations

13691 Metro Pkwy
Ste 400
Fort Myers, FL 33912
Phone (239) 302-3216

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1427046846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY",
            "address_2": "SUITE 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124327",
            "telephone_number": "239-768-2272",
            "fax_number": "239-768-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY",
            "address_2": "SUITE 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124327",
            "telephone_number": "239-768-2272",
            "fax_number": "239-768-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF SOUTHWEST FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "DUPAY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-768-2272",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS4788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275660900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDWARD DUPAY NPI",
            "identifier": "1962490375",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372238400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES L OTIS NPI",
            "identifier": "1477541894",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046335300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.