Active NPI
Nancy R Schleider MD PA
- Dermatology Physician
- Fort Myers, FL
National Provider Identifier
1629191804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME46042
- Legal business name
- NANCY R SCHLEIDER MD PA
- Practice address
- 13691 Metro Pkwy
Suite 420
Fort Myers, FL 33912-4327 - Phone
- (239) 768-2057
- Fax
- (239) 768-2133
- NPI assigned
- Apr 10, 2007
- Last updated
- Aug 20, 2013
- 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
- Dr. Nancy Schleider, M.D.
- Title
- President
- Phone
- (239) 768-2057
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME46042 | FL | Primary |
Addresses
Primary practice location
13691 Metro Pkwy
Suite 420
Fort Myers, FL 33912-4327
Mailing address
PO Box 7518
Fort Myers, FL 33911-7518
Phone (239) 931-7262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS8673 | Other | FL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dermatology Physician
- Fort Myers, FL
- NPI 1932107398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1629191804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7518",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339117518",
"telephone_number": "239-931-7262",
"fax_number": "239-931-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13691 METRO PKWY",
"address_2": "SUITE 420",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124327",
"telephone_number": "239-768-2057",
"fax_number": "239-768-2133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY R SCHLEIDER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "SCHLEIDER",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-768-2057",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME46042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DS8673",
"state": "FL"
}
],
"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 Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.