Howard M Imanuel, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO000705 Issued in FL

Practice address

8851 Boardroom Cir
Fort Myers, FL 33919-4888

Phone

(239) 689-8910

Fax

(239) 433-8999

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Howard M Imanuel DPM PA

  dba The Podiatry Center

  • Podiatrist
  • Fort Myers, FL
  • NPI 1073536207
  NPD (past) Authorized official

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1750381190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13681 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124318",
            "telephone_number": "239-768-2323",
            "fax_number": "239-768-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 BOARDROOM CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194888",
            "telephone_number": "239-689-8910",
            "fax_number": "239-433-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMANUEL",
        "first_name": "HOWARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO000705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041327500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Imc FL
• Imc-Heartway, L.L.C. (Heartway USA)
• Impact for Developmental Education, Inc
• Impact for Developmental Education, Inc

• Podiatrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.