NPIMap

Organization Active NPI

David R Driesbach DO

  • Family Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1821283706
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVID R DRIESBACH DO
Practice address
643 Cape Coral Pkwy E
Suite F
Cape Coral, FL 33904-8549
Phone
(239) 540-4500
Fax
(239) 540-1529
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Lisa Sevick
Title
Office Manager
Phone
(239) 540-4500

Specialties & licenses 1

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

Addresses

Primary practice location

643 Cape Coral Pkwy E
Suite F
Cape Coral, FL 33904-8549

Mailing address

643 Cape Coral Pkwy E
Suite F
Cape Coral, FL 33904-8549
Phone (239) 540-4500

Other identifiers 1

IdentifierTypeStateIssuer
DD6773OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

643 Cape Coral Pkwy E
Ste F
Cape Coral, FL 33904
Phone (239) 540-4500

681 Goodlette Rd
Naples, FL 34102
Phone (239) 687-6339

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1821283706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 CAPE CORAL PKWY E",
            "address_2": "SUITE F",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048549",
            "telephone_number": "239-540-4500",
            "fax_number": "239-540-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 CAPE CORAL PKWY E",
            "address_2": "SUITE F",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048549",
            "telephone_number": "239-540-4500",
            "fax_number": "239-540-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R DRIESBACH DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "SEVICK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-540-4500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6773",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.