Organization Active NPI

Jack Lomano MD

  • Medical Specialty Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1740645357
Registry record updated Dec 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME33323 Issued in FL
Legal business name
JACK LOMANO MD
Practice address
15644 Caloosa Creek Cir
Fort Myers, FL 33908-6736
Phone
(239) 470-8809
Fax
(239) 236-3900
NPI assigned
Dec 24, 2015
Last updated
Dec 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2015

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

Authorized official

Name
Jack M Lomano, MDNPI 1629380076
Title
Physician
Phone
(239) 470-8809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME33323 FL Primary

Addresses

Primary practice location

15644 Caloosa Creek Cir
Fort Myers, FL 33908-6736

Mailing address

15644 Caloosa Creek Cir
Fort Myers, FL 33908-6736
Phone (239) 470-8809

Other identifiers 1

IdentifierTypeStateIssuer
ME33323OtherFLFLORIDA MEDICAL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450915200000",
    "number": "1740645357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15644 CALOOSA CREEK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086736",
            "telephone_number": "239-470-8809",
            "fax_number": "239-236-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 CALOOSA CREEK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086736",
            "telephone_number": "239-470-8809",
            "fax_number": "239-236-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK LOMANO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-24",
        "last_updated": "2015-12-24",
        "status": "A",
        "authorized_official_last_name": "LOMANO",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-470-8809",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME33323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME33323",
            "state": "FL"
        }
    ],
    "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 Dec 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.