Active NPI
John Ronald Mayer, MD
- Plastic Surgery Physician
- Marco Island, FL
National Provider Identifier
1699011940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 01027119A
- Practice address
- 730 S Collier Blvd
Unit 106
Marco Island, FL 34145-6021 - Phone
- (239) 821-4398
- NPI assigned
- Dec 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 01027119A | IN | Primary |
Addresses
Primary practice location
730 S Collier Blvd
Unit 106
Marco Island, FL 34145-6021
Mailing address
730 S Collier Blvd
Unit 106
Marco Island, FL 34145-6021
Phone (239) 821-4398
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 |
|---|---|---|---|
| 01027119A | IN | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1699011940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 S COLLIER BLVD",
"address_2": "UNIT 106",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341456021",
"telephone_number": "239-821-4398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 S COLLIER BLVD",
"address_2": "UNIT 106",
"city": "MARCO ISLAND",
"state": "FL",
"postal_code": "341456021",
"telephone_number": "239-821-4398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "JOHN",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-13",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IN",
"license": "01027119A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marco Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.