Organization Active NPI

Jeff R. Comer M.D. P.a.

  • Otolaryngology Physician
  • Fort Myers, FL
National Provider Identifier
1760734651
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME 0038027 Issued in FL
Legal business name
JEFF R. COMER M.D. P.A.
Practice address
9738 Commerce Center CT
Fort Myers, FL 33908-3670
Phone
(239) 939-7274
Fax
(239) 939-9091
NPI assigned
Oct 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Jeff R Comer, M.D.
Title
Physician - Owner
Phone
(239) 939-7274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X ME 0038027 FL Primary

Addresses

Primary practice location

9738 Commerce Center CT
Fort Myers, FL 33908-3670

Mailing address

9738 Commerce Center CT
Fort Myers, FL 33908-3670
Phone (239) 939-7274

Other identifiers 1

IdentifierTypeStateIssuer
ME0038027OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1760734651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9738 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083670",
            "telephone_number": "239-939-7274",
            "fax_number": "239-939-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9738 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083670",
            "telephone_number": "239-939-7274",
            "fax_number": "239-939-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF R. COMER M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN - OWNER",
        "authorized_official_telephone_number": "239-939-7274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME 0038027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0038027",
            "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 Oct 3, 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.