Organization Active NPI

Oak Tree Family Practice, PA

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1780870089
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8202 Issued in FL
Legal business name
OAK TREE FAMILY PRACTICE, PA
Practice address
90 Cypress Way E Ste 10
Naples, FL 34110-9275
Phone
(239) 514-7315
Fax
(239) 592-5999
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Mrs. Noell J Ponto
Title
Office Manager
Phone
(239) 514-7315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS8202 FL Primary

Addresses

Primary practice location

90 Cypress Way E Ste 10
Naples, FL 34110-9275

Mailing address

90 Cypress Way E Ste 10
Naples, FL 34110-9275
Phone (239) 514-7315

National Provider Directory

National Provider Directory

Locations

11181 Health Park Blvd
Ste 2260
Naples, FL 34110
Phone (239) 514-7315

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1780870089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CYPRESS WAY E STE 10",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341109275",
            "telephone_number": "239-514-7315",
            "fax_number": "239-592-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CYPRESS WAY E STE 10",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341109275",
            "telephone_number": "239-514-7315",
            "fax_number": "239-592-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "PONTO",
        "authorized_official_first_name": "NOELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-514-7315",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.