Active NPI
Orthopedic Associates of Southwest Florida PA
- Surgery Physician
- Fort Myers, FL
National Provider Identifier
1427046846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS4788
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275660900 | Medicaid | FL | |
| 1962490375 | Other | FL | EDWARD DUPAY NPI |
| 372238400 | Medicaid | FL | |
| 1477541894 | Other | FL | JAMES L OTIS NPI |
| 046335300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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
- Daniela Orta
- Alexander Marcos Ortega, M.D.
- Kayla Ortega, RBT
- Nicholas Francis Orthmann, DC
- Ortho Florida, LLC (OrthoKagan Orthopedic Neurospine Institute)
- Orthopedic Center of Florida, Inc
- Orthopedic Center of Florida, Inc
- Orthopedic Prompt Care, LLC
- Orthopedic Specialists of SW Florida, P.a.
- Orthopedic Specialists of SW Florida, P.a.
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.