Individual provider Active NPI

Cecile Saint Paul, MD

  • Obstetrics & Gynecology Physician
  • Fort Myers, FL
National Provider Identifier
1730163759
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME55639 Issued in FL
Practice address
1412 Royal Palm Square Blvd
Ste 102
Fort Myers, FL 33919-1075
Phone
(239) 274-9700
Fax
(239) 274-9703
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME55639 FL Primary

Addresses

Primary practice location

1412 Royal Palm Square Blvd
Ste 102
Fort Myers, FL 33919-1075

Mailing address

1412 Royal Palm Square Blvd
Ste 102
Fort Myers, FL 33919-1075
Phone (239) 274-9700

Other identifiers 2

IdentifierTypeStateIssuer
09665OtherFLBCBS
062088200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000182 FL Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 6608931258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Hahneman Medical College of the Pacific, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vita Nova Limited IncGroup PAC ID 3870921463, 5 clinicians

Practice addresses (Care Compare)

13720 N Cleveland Ave
Suite B
North Fort Myers, FL 33903-4300
Phone (239) 997-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Nova Limited Inc CurrentSince Mar 13, 2020 Accepting new patients

Locations

13720 N Cleveland Ave
Ste B
North Ft Myers, FL 33903
Phone (239) 997-8100

13720 N Cleveland Ave
North Ft Myers, FL 33903
Phone (239) 997-8100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1730163759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 ROYAL PALM SQUARE BLVD",
            "address_2": "STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191075",
            "telephone_number": "239-274-9700",
            "fax_number": "239-274-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 ROYAL PALM SQUARE BLVD",
            "address_2": "STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191075",
            "telephone_number": "239-274-9700",
            "fax_number": "239-274-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT PAUL",
        "first_name": "CECILE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME55639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09665",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062088200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.