Surgical Consultants of Southwest Florida, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME66691 Issued in FL

Legal business name

SURGICAL CONSULTANTS OF SOUTHWEST FLORIDA, LLC

Practice address

4519 Tilton CT
Fort Myers, FL 33907-1214

Phone

(239) 494-8777

Fax

(239) 288-7139

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas L Bass, MD

Title

President

Phone

(239) 494-8777

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gulf Coast Bariatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1780835959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 TILTON CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071214",
            "telephone_number": "239-494-8777",
            "fax_number": "239-288-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 TILTON CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071214",
            "telephone_number": "239-494-8777",
            "fax_number": "239-288-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CONSULTANTS OF SOUTHWEST FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-494-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME66691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "EU499A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003437100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Bariatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Superior Private Transportation of SWFL LLC
• Apinya Suppatkul, PHARM.D.
• Samantha Dawn Surace, FAMILY NURSE PRACTIT
• Surgery Center of Southwest Florida Inc
• Surgery Centre of SW Florida LLC
• Surgical Consulting Group PA
• Surgical Healing Arts Center, LLC
• Surgical Specialists of Southwest Florida P.a.
• Surgical Spine Associates, LLC
• Surgicare Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.