Active NPI
Daniel Eric Eason, DO
- Pediatric Cardiology Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- OS12263
- Practice address
- 22655 Bayshore Rd Ste 110
Port Charlotte, FL 33980-2005 - Phone
- (941) 235-4900
- Fax
- (941) 235-4901
- NPI assigned
- Jul 19, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2009-00526 | NC | |
| Pediatric Cardiology Physician | 2080P0202X | OS12263 | FL | Primary |
Addresses
Primary practice location
22655 Bayshore Rd Ste 110
Port Charlotte, FL 33980-2005
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-7490
Other practice location 1
16281 Bass Rd
Suite 301
Fort Myers, FL 33908
Phone (239) 343-7490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009452400 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deason82524@Direct.leememorial.org | Lee Memorial Health System |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
16281 Bass Rd
Fort Myers, FL 33908-9687
22655 Bayshore Rd
Port Charlotte, FL 33980-2005
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Hospital & facility affiliations
- Lee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-00526 | NC | MD | Pediatrics Physician |
| OS12263 | FL | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Pediatrics | Current | Accepting new patients |
| Lee Health System Inc | Pediatrics | Current | Accepting new patients |
| Florida Radiology Leasing LLC | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150
16281 Bass Rd
Ste 301
Fort Myers, FL 33908
Phone (239) 343-7110
16281 Bass Rd
Ste 304
Fort Myers, FL 33908
Phone (239) 343-7490
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
3361 Pine Ridge Rd
Ste 201
Naples, FL 34109
Phone (239) 254-4270
22655 Bayshore Rd
Ste 110
Punta Gorda, FL 33980
Phone (941) 235-4900
Interoperability endpoints
- deason82524@direct.leememorial.org
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1518907823
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1689804148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-7490",
"fax_number": "239-343-5032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22655 BAYSHORE RD STE 110",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339802005",
"telephone_number": "941-235-4900",
"fax_number": "941-235-4901"
}
],
"practiceLocations": [
{
"address_1": "16281 Bass Rd",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "33908",
"country_code": "US",
"telephone_number": "239-343-7490",
"fax_number": "239-343-5032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASON",
"first_name": "DANIEL",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-19",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2009-00526",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "OS12263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009452400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deason82524@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.