Active NPI
Gerriann Meandro, PA
- Physician Assistant
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101674
- Practice address
- 2776 Cleveland Ave
Fort Myers, FL 33901-5864 - Phone
- (239) 334-5837
- Fax
- (239) 334-5266
- NPI assigned
- Nov 8, 2006
- Last updated
- Nov 12, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101674 | FL | Primary |
Addresses
Primary practice location
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Mailing address
5410 Maryland Way
Suite 300
Brentwood, TN 37027-5064
Phone (615) 377-5670
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3840 Broadway
Fort Myers, FL 33901-8108
Phone (239) 275-6400
8440 Murano del Lago Dr
Estero, FL 34135-8615
Phone (239) 221-5402
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Cape Coral Emergency Physicians | Past | Accepting new patients | |
| W Peter Graper MD PA | Past | Accepting new patients | |
| Thomas F. Kelly, MD, PA | Past | Accepting new patients | |
| All X Ray Diagnostic Services Corp | Physician Assistant | Past | Accepting new patients |
| Cogent Healthcare of Fort Myers, LLC | Physician Assistant | Past | Accepting new patients |
Locations
1030 Commerce Creek Blvd
Cape Coral, FL 33909
Phone (239) 772-3544
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
8260 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-5755
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1225093941
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1952352163
Physician Assistant
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sarasota, FL
- NPI 1639318835
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sarasota, FL
- NPI 1366624249
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lee Memorial Hospital
- 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": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194825600000",
"number": "1740350016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 MARYLAND WAY",
"address_2": "SUITE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275064",
"telephone_number": "615-377-5670",
"fax_number": "615-377-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2776 CLEVELAND AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339015864",
"telephone_number": "239-334-5837",
"fax_number": "239-334-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEANDRO",
"first_name": "GERRIANN",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 12, 2007; 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.