Individual provider Active NPI

Patrick Flaharty, MD

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1801975412
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME63087 Issued in FL
Practice address
13470 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-1809
Phone
(239) 415-7576
Fax
(239) 415-7580
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME63087 FL Primary

Addresses

Primary practice location

13470 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-1809

Mailing address

13470 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-1809
Phone (239) 415-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000101 FL Practitioner - Ophthalmology 6002904257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azul Cosmetic Surgery and Medical Spa PAGroup PAC ID 9830261106, 3 clinicians

Practice addresses (Care Compare)

13470 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-1850
Phone (239) 415-7576

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME63087FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Azul Cosmetic Surgery & Medical Spa PA Ophthalmology CurrentSince Apr 16, 2008 Accepting new patients

Locations

23451 Walden Center Dr
Ste 400
Estero, FL 34134
Phone (239) 415-7576

13470 Parker Commons Blvd
Fort Myers, FL 33912

13470 Parker Commons Blvd
Ste 101
Fort Myers, FL 33912
Phone (239) 379-8925

1009 Crosspointe Dr
Ste 1
Naples, FL 34110
Phone (239) 415-7576

Interoperability endpoints

  • Direct secure messaging: pflaharty@directaddress.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1801975412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13470 PARKER COMMONS BLVD",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121809",
            "telephone_number": "239-415-7576",
            "fax_number": "239-415-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13470 PARKER COMMONS BLVD",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121809",
            "telephone_number": "239-415-7576",
            "fax_number": "239-415-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHARTY",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME63087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.