Organization Active NPI

Ricardo E. Novoa, D.O., P.a.

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1528376126
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6271 Issued in FL
Legal business name
RICARDO E. NOVOA, D.O., P.A.
Practice address
13440 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-1816
Phone
(239) 482-7765
Fax
(239) 432-9392
NPI assigned
Sep 16, 2010
Last updated
Jun 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Dr. Ricardo E Novoa, D.O.
Title
Physician
Phone
(239) 482-7765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS6271 FL Primary

Addresses

Primary practice location

13440 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-1816

Mailing address

13440 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-1816
Phone (239) 482-7765

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1528376126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13440 PARKER COMMONS BLVD",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121816",
            "telephone_number": "239-482-7765",
            "fax_number": "239-432-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 PARKER COMMONS BLVD",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121816",
            "telephone_number": "239-482-7765",
            "fax_number": "239-432-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO E. NOVOA, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "NOVOA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-482-7765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6271",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 27, 2011; 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.