NPIMap

Organization Active NPI

Joint Implant Surgeons of Florida PA

  • Pain Medicine (Anesthesiology) Physician
  • Fort Myers, FL
National Provider Identifier
1508872839
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
JOINT IMPLANT SURGEONS OF FLORIDA PA
Doing business as
Joint Implant Surgeons of Florida, PA
Practice address
7331 College Pkwy
Suite 300
Fort Myers, FL 33907-5524
Phone
(239) 337-2003
Fax
(239) 337-3168
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Edward Thomas Humbert, DONPI 1639185978
Title
President
Phone
(239) 337-2003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

7331 College Pkwy
Suite 300
Fort Myers, FL 33907-5524

Mailing address

7331 College Pkwy
Suite 300
Fort Myers, FL 33907-5524
Phone (239) 337-2003

Other identifiers 3

IdentifierTypeStateIssuer
20188693OtherFLMEDICARE RAILROAD
38222OtherFLBCBS
0667439OtherAETNA

Other names 1

  • Joint Implant Surgeons of Florida, PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070212000211 FL Part B Supplier - Clinic/Group Practice 7911909510 Receives reassigned benefits from 46 practitioners
Practice locations: Cape Coral, FL; Fort Myers, FL; Naples, FL
O20100930099343 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7911909510 Practice locations: Fort Myers, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2102457Joint Implant Surgeons of Florida7331 College Pkwy Ste 300, Fort Myers, FL 33907Certificate of waiverSep 22, 2027

National Provider Directory

National Provider Directory

Locations

7331 College Pkwy
Ste 300
Fort Myers, FL 33907
Phone (239) 337-2003

1020 Crosspointe Dr
Naples, FL 34110
Phone (239) 337-2003

1020 Crosspointe Dr
Ste 110
Naples, FL 34110
Phone (239) 337-2003

1020 Crosspointe Dr
Ste 108
Naples, FL 34110
Phone (239) 337-2003

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1508872839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 COLLEGE PKWY",
            "address_2": "SUITE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075524",
            "telephone_number": "239-337-2003",
            "fax_number": "239-337-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 COLLEGE PKWY",
            "address_2": "SUITE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075524",
            "telephone_number": "239-337-2003",
            "fax_number": "239-337-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT IMPLANT SURGEONS OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "HUMBERT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-337-2003",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "20188693",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38222",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0667439",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joint Implant Surgeons of Florida, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.