Ft Myers Digestive Health and Pain ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

776 Issued in FL

Legal business name

FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC

Doing business as

Center for Digestive Health and Pain Management

Practice address

12700 Creekside LN
Suite 202
Fort Myers, FL 33919-3356

Phone

(239) 489-1660

Fax

(239) 489-2114

NPI assigned

Feb 9, 2006

Last updated

May 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Billie A Payne

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center for Digestive Health and Pain Management Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sypert Institute PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Cape Coral, FL
  • NPI 1104889534

  Member Of

  NPD member

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1619940582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 CREEKSIDE LN",
            "address_2": "SUITE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193356",
            "telephone_number": "239-489-1660",
            "fax_number": "239-489-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 CREEKSIDE LN",
            "address_2": "SUITE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193356",
            "telephone_number": "239-489-1660",
            "fax_number": "239-489-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751839-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Digestive Health and Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Fry, RMHCI
• FS Tenant Pool IV Trust (Springwood Court)
• FSQ the Palms at Fort Myers LLC (The Palms at Fort Myers)
• Ft Myers Alf BSLC LLC (Lamplight Inn)
• Ft Myers Dental Service PA (Main Street Orthodontics of Ft Myers)
• Ft Myers FL Ophthalmology ASC LLC (University Eye Surgery Center)
• Ft. Myers Chiropractic Center, Inc.
• Ft. Myers Dental Services, PA (Main Street Children's Dentistry of Ft. Myers)
• Ft. Myers MRI, LLC
• Ft. Myers Women's Health Center, Inc.

• Ambulatory Surgical Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.