Annette M St Pierre Mackoul MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME67399 Issued in FL

Legal business name

ANNETTE M ST PIERRE MACKOUL MD PA

Practice address

8530 Granite CT
Fort Myers, FL 33908-4102

Phone

(239) 415-1131

Fax

(239) 415-1136

NPI assigned

Mar 2, 2011

Last updated

May 28, 2020By 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

Liset Fleitas

Title

Office Manager

Phone

(239) 415-1131

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

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.

• Annette M St Pierre-Mackoul, MD

  • Pediatrics Physician
  • Fort Myers, FL
  • NPI 1285623728
  NPD
• Rebekah Jean Chandler, APRN, FNP-C

  • Family Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1619690492
  NPD (past)

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1659679561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 GRANITE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084102",
            "telephone_number": "239-415-1131",
            "fax_number": "239-415-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 GRANITE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084102",
            "telephone_number": "239-415-1131",
            "fax_number": "239-415-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE M ST PIERRE MACKOUL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "FLEITAS",
        "authorized_official_first_name": "LISET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-415-1131"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME67399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377085100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003463600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000697700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024174700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Lee Angle II, DC
• Janna Lucero Anhalt
• Ernestina Anim, LCSW
• Ann Montgomery Ventures, LLC (ComForcare Senior Services)
• Anne Lord DO, PA (Dr. Anne All In)
• Another Approach, Inc.
• Daniel Antenor
• Eric Antetomaso, PHARMD.
• Jonathan Anthony, D.O.
• Marcia Eliza Antigua-Lee, M.D.

• Pediatrics Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.