NPIMap

Organization Active NPI

Wayne Isaacson MD

  • Non-Pharmacy Dispensing Site
  • Fort Myers, FL
National Provider Identifier
1770698706
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME0071098 Issued in FL
Legal business name
WAYNE ISAACSON MD
Practice address
4035 Evans Ave
Ste 1
Fort Myers, FL 33901-9308
Phone
(239) 939-7375
Fax
(239) 939-5105
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Wayne IsaacsonNPI 1215928189
Title
MD
Phone
(239) 939-7375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME0071098 FL Primary

Addresses

Primary practice location

4035 Evans Ave
Ste 1
Fort Myers, FL 33901-9308

Mailing address

4035 Evans Ave
Ste 1
Fort Myers, FL 33901-9308

Other identifiers 2

IdentifierTypeStateIssuer
1020685OtherOTHER ID NUMBER
1020685OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

4035 Evans Ave
Ste 1
Fort Myers, FL 33901
Phone (239) 939-7375

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1770698706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 EVANS AVE",
            "address_2": "STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 EVANS AVE",
            "address_2": "STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019308",
            "telephone_number": "239-939-7375",
            "fax_number": "239-939-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE ISAACSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "239-939-7375"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME0071098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1020685",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1020685",
            "state": null
        }
    ],
    "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 Jul 31, 2007; 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.