NPIMap

Organization Active NPI

Total Senior Health Care Mobile Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bonita Springs, FL
National Provider Identifier
1790871424
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
TOTAL SENIOR HEALTH CARE MOBILE PHYSICIAN SERVICES LLC
Practice address
3368 Woods Edge Cir
Suite 104
Bonita Springs, FL 34134-3437
Phone
(239) 390-2032
NPI assigned
Oct 4, 2006
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PERSONALIZED PHYSICIAN CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Dr. Donald John Dipasco, M.D.NPI 1396745006
Title
Medical Director
Phone
(239) 390-2032

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

3368 Woods Edge Cir
Suite 104
Bonita Springs, FL 34134-3437

Mailing address

3368 Woods Edge Cir
Suite 104
Bonita Springs, FL 34134-3437

National Provider Directory

National Provider Directory

Locations

3368 Woods Edge Cir
Ste 101
Bonita Springs, FL 34134
Phone (239) 390-2032

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1790871424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 WOODS EDGE CIR",
            "address_2": "SUITE 104",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 WOODS EDGE CIR",
            "address_2": "SUITE 104",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341343437",
            "telephone_number": "239-390-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SENIOR HEALTH CARE MOBILE PHYSICIAN SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERSONALIZED PHYSICIAN CARE INC",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "DIPASCO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-390-2032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.