Active NPI
Jean Ernst Jean Baptiste
- Pediatric Pulmonology Physician
- Fort Myers, FL
National Provider Identifier
1689637589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- ME91014
- Practice address
- 12748 University Dr
Fort Myers, FL 33907-5634 - Phone
- (239) 464-8089
- Fax
- (239) 437-5507
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0091014 | FL | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | ME0091014 | FL | |
| Pediatric Pulmonology Physician | 2080P0214X | ME91014 | FL | Primary |
Addresses
Primary practice location
12748 University Dr
Fort Myers, FL 33907-5634
Mailing address
12748 University Dr
Fort Myers, FL 33907-5634
Phone (239) 437-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271207500 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeanjeanbaptiste@csppfl.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0091014 | FL | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
| ME91014 | FL | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Specialist Pediatric Pulmonology of Florida LLC | Current | Accepting new patients | |
| Sante Plus Medical Center | Past | Accepting new patients |
Locations
12748 University Dr
Fort Myers, FL 33907
Phone (239) 437-5500
7970 Summerlin Lakes Dr
Ste 200
Fort Myers, FL 33907
Phone (239) 936-2020
3361 Pine Ridge Rd
Naples, FL 34109
Phone (239) 254-4260
Interoperability endpoints
- jeanjeanbaptiste@csppfl.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Fort Myers, FL
- NPI 1497944193
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1639759475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1689637589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12748 UNIVERSITY DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075634",
"telephone_number": "239-437-5500",
"fax_number": "239-437-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12748 UNIVERSITY DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075634",
"telephone_number": "239-464-8089",
"fax_number": "239-437-5507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN BAPTISTE",
"first_name": "JEAN",
"middle_name": "ERNST",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0091014",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME0091014",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "FL",
"license": "ME91014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271207500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeanjeanbaptiste@csppfl.allscriptsdirect.net",
"affiliation": "N",
"address_1": "12748 University Dr",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339075634",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.