Organization Active NPI

Alternative Medical Institute Corp.

  • Addiction Medicine (Anesthesiology) Physician
  • Fort Myers, FL
National Provider Identifier
1649523051
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
ME 46329 Issued in FL
Legal business name
ALTERNATIVE MEDICAL INSTITUTE CORP.
Practice address
20 Barkley Cir
Suite 201
Fort Myers, FL 33907-4545
Phone
(941) 815-1103
Fax
(239) 541-5445
NPI assigned
Oct 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
William Hayes Wyttenbach, MD
Title
Chairman/Medical Director
Phone
(941) 815-1103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LA0401X ME 46329 FL Primary

Addresses

Primary practice location

20 Barkley Cir
Suite 201
Fort Myers, FL 33907-4545

Mailing address

20 Barkley Cir
Suite 201
Fort Myers, FL 33907-4545
Phone (941) 815-1103

National Provider Directory

National Provider Directory

Locations

20 Barkley Cir
Ste 201
Fort Myers, FL 33907
Phone (239) 245-7729

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1649523051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BARKLEY CIR",
            "address_2": "SUITE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074545",
            "telephone_number": "941-815-1103",
            "fax_number": "239-245-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BARKLEY CIR",
            "address_2": "SUITE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074545",
            "telephone_number": "941-815-1103",
            "fax_number": "239-541-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE MEDICAL INSTITUTE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "WYTTENBACH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "CHAIRMAN/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-815-1103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "FL",
            "license": "ME 46329",
            "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 Jan 24, 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.

Verify at the official NPI Registry.