Organization Active NPI

Deiorio Beaulieu & Fuller

Doing business as Orthopedic Associates of Cape Coral

  • Orthopaedic Surgery Physician
  • Cape Coral, FL
National Provider Identifier
1639184492
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DEIORIO BEAULIEU & FULLER
Doing business as
Orthopedic Associates of Cape Coral
Practice address
657 Del Prado Blvd S
Cape Coral, FL 33990-2666
Phone
(239) 772-4484
Fax
(239) 772-2903
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Authorized official

Name
Ms. Lela F Derish
Title
Admin.
Phone
(239) 772-7229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

657 Del Prado Blvd S
Cape Coral, FL 33990-2666

Mailing address

657 Del Prado Blvd S
Cape Coral, FL 33990-2666
Phone (239) 772-4484

Other names 1

  • Orthopedic Associates of Cape Coral Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111000249 FL Part B Supplier - Clinic/Group Practice 3870516362 Receives reassigned benefits from 6 practitioners
Practice locations: Cape Coral, FL

National Provider Directory

National Provider Directory

Locations

657 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 337-2003

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1639184492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902666",
            "telephone_number": "239-772-4484",
            "fax_number": "239-772-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902666",
            "telephone_number": "239-772-4484",
            "fax_number": "239-772-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIORIO BEAULIEU & FULLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "DERISH",
        "authorized_official_first_name": "LELA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMIN.",
        "authorized_official_telephone_number": "239-772-7229",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Associates of Cape Coral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.