Active NPI
Jack Lomano MD
- Medical Specialty Clinic/Center
- Fort Myers, FL
National Provider Identifier
1740645357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- ME33323
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack M Lomano, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME33323 | Other | FL | FLORIDA MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Gynecology Physician
- Fort Myers, FL
- NPI 1629380076
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.