Advanced Laparoscopic Surgery of Fort Myers LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME96681 Issued in FL

Legal business name

ADVANCED LAPAROSCOPIC SURGERY OF FORT MYERS LLC

Practice address

615 Williams Ave
Suite 101
Lehigh Acres, FL 33972-7954

Phone

(239) 303-5273

Fax

(866) 586-6004

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Thomas McGraw, M. D.

Title

Owner

Phone

(239) 209-7543

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1780874784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WILLIAMS AVE",
            "address_2": "SUITE 101",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339727954",
            "telephone_number": "239-209-7543",
            "fax_number": "866-586-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WILLIAMS AVE",
            "address_2": "SUITE 101",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339727954",
            "telephone_number": "239-303-5273",
            "fax_number": "866-586-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LAPAROSCOPIC SURGERY OF FORT MYERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-209-7543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME96681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "178150564104",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3954998",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18294",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2822788",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9344077",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.