Organization Active NPI

Gentle Care OB GYN and Infertility Corp

  • Medical Specialty Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1821420845
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME100568 Issued in FL
Legal business name
GENTLE CARE OB GYN AND INFERTILITY CORP
Practice address
3615 Central Ave Ste 7
Fort Myers, FL 33901-8257
Phone
(239) 939-3100
Fax
(239) 939-3104
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dr. Norris Michael Allen, MD
Title
President/Ceo
Phone
(239) 939-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME100568 FL Primary

Addresses

Primary practice location

3615 Central Ave Ste 7
Fort Myers, FL 33901-8257

Mailing address

3615 Central Ave Ste 7
Fort Myers, FL 33901-8257
Phone (239) 939-3100

Other identifiers 1

IdentifierTypeStateIssuer
280134500MedicaidFL

National Provider Directory

National Provider Directory

Locations

3615 Central Ave
Ste 7
Fort Myers, FL 33901
Phone (239) 939-3100

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1821420845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 CENTRAL AVE STE 7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018257",
            "telephone_number": "239-939-3100",
            "fax_number": "239-939-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 CENTRAL AVE STE 7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018257",
            "telephone_number": "239-939-3100",
            "fax_number": "239-939-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE OB GYN AND INFERTILITY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "NORRIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "239-939-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME100568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280134500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.