Gary Shidel, A.R.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARP1955972 Issued in FL

Practice address

9470 Healthpark Cir
Fort Myers, FL 33908-3600

Phone

(239) 482-4673

Fax

(239) 482-7298

NPI assigned

Jan 23, 2006

Sex

Male

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

State licenses

Practice roles

Locations

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

• Hope Hospice and Community Services, Inc

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1114225745
  Medicare reassignment NPD
• The Heart GRP PL

  • Cardiovascular Disease Physician
  • Ft Myers, FL
  • NPI 1720045149
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1477523694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-482-4673",
            "fax_number": "239-482-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-482-4673",
            "fax_number": "239-482-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIDEL",
        "first_name": "GARY",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARP1955972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087535000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tera Rae Sherman
• Markus Sherry, DMD
• Rebecca Elizabeth Sherry, LMHC
• Sumeet Shetty, M.D.
• Carly Lynn Shevitz, PT, DPT
• Moses Kun-CHI Shieh, D.O.
• Mohammed Amer Shiekhmohammed, M.D.
• Cynthia M Shields, NP
• Danielle Marie Shields, LMHC
• Diana Shima, DDS

• Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.