Active NPI
Ira A Zucker, MD
- Urology Physician
- Fort Myers, FL
National Provider Identifier
1861583197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME57412
- Practice address
- 7451 Gladiolus Dr
Fort Myers, FL 33908-5193 - Phone
- (239) 689-8800
- Fax
- (239) 939-7774
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME57412 | FL | Primary |
Addresses
Primary practice location
7451 Gladiolus Dr
Fort Myers, FL 33908-5193
Mailing address
2234 Colonial Blvd
Managed Care Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10293 | Other | FL | BCBS PROVIDER # |
| 1689688 | Other | FL | CIGNA PRIOVIDER # |
| 1193525 | Other | FL | WELLCARE |
| 208980 | Other | FL | AVMED PROVIDER # |
| P00387302 | Other | FL | RAILROAD MEDICARE |
| 4133111 | Other | FL | AETNA PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10293 | FL | MD | Nutritionist |
Interoperability endpoints
- ira.zucker@floridaurology.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1861583197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "MANAGED CARE DEPT.",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7451 GLADIOLUS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339085193",
"telephone_number": "239-689-8800",
"fax_number": "239-939-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKER",
"first_name": "IRA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME57412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "10293",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PRIOVIDER #",
"identifier": "1689688",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1193525",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED PROVIDER #",
"identifier": "208980",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00387302",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "4133111",
"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 Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.