Active NPI
Eric S Trathen DPM Inc
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
National Provider Identifier
1649664426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3472
- Legal business name
- ERIC S TRATHEN DPM INC
- Practice address
- 12630 World Plaza LN
70
Fort Myers, FL 33907-3987 - Phone
- (239) 689-1235
- Fax
- (239) 274-8319
- NPI assigned
- Mar 19, 2015
- 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. Eric Stephen Trathen, DPM
- Title
- Physician/President
- Phone
- (239) 689-1235
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3472 | FL | Primary |
Addresses
Primary practice location
12630 World Plaza LN
70
Fort Myers, FL 33907-3987
Mailing address
12630 World Plaza LN
70
Fort Myers, FL 33907-3987
Phone (239) 689-1235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241025000437 | FL | DME Supplier - Physician - Podiatry | 4688107923 | Practice locations: Fort Myers, FL |
National Provider Directory
National Provider DirectoryLocations
12630 World Plaza Ln
#70
Fort Myers, FL 33907
Phone (239) 936-3344
12630 World Plaza Ln
Ste 70
Fort Myers, FL 33907
Phone (239) 689-1235
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
- NPI 1093963449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426723200000",
"number": "1649664426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12630 WORLD PLAZA LN",
"address_2": "70",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073987",
"telephone_number": "239-689-1235",
"fax_number": "239-274-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12630 WORLD PLAZA LN",
"address_2": "70",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073987",
"telephone_number": "239-689-1235",
"fax_number": "239-274-8319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC S TRATHEN DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-19",
"last_updated": "2015-03-19",
"status": "A",
"authorized_official_last_name": "TRATHEN",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "239-689-1235",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3472",
"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 Mar 19, 2015; 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.