Omar Rieche MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0063632 Issued in FL

Legal business name

OMAR RIECHE MD PA

Practice address

1705 Colonial Blvd
B-1
Fort Myers, FL 33907-1195

Phone

(239) 936-5968

Fax

(239) 936-5968

NPI assigned

Jun 20, 2008

Last updated

Nov 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Omar Rieche, MD

Title

Owner/Doctor

Phone

(239) 278-7788

Specialties & licenses 1

Addresses

Locations

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.

• Lisa Mazzotti, LMHC, CAP

  • Counselor
  • Punta Gorda, FL
  • NPI 1215343033
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1760643860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071195",
            "telephone_number": "239-278-7788",
            "fax_number": "239-936-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 COLONIAL BLVD",
            "address_2": "B-1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071195",
            "telephone_number": "239-936-5968",
            "fax_number": "239-936-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR RIECHE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "RIECHE",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "239-278-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "0063632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Olson, MBA, RDN, LDN, CNSC
• Laureen Olson
• Ryan K Olson, MD
• Tracy L. Olson, DC
• Gaby Olvera, LMT
• Omega Centre Inc
• Adeleke O Omisande
• Stacee Ommundsen
• Omni Patient Care Physical Therapy
• Kelly C Omonte, RBT-25-454525

• Psychiatry Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.