NPIMap

Organization Active NPI

Manuel a. Pardo, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Myers, FL
National Provider Identifier
1861883712
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MANUEL A. PARDO, M.D.
Practice address
42 Barkley Cir
Suite # 2
Fort Myers, FL 33907-4543
Phone
(239) 728-3500
NPI assigned
Feb 13, 2015
Last updated
Feb 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Dr. Manuel A Pardo, M.D.NPI 1376583294
Title
Owner
Phone
(239) 728-3500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

42 Barkley Cir
Suite # 2
Fort Myers, FL 33907-4543

Mailing address

42 Barkley Cir
Suite # 2
Fort Myers, FL 33907-4543
Phone (239) 728-3500

Other identifiers 2

IdentifierTypeStateIssuer
0420662-00MedicaidFL
08428OtherBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

42 Barkley Cir
Ste 2
Fort Myers, FL 33907
Phone (239) 322-2619

Practitioners & affiliated clinicians

Practitioners 1

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": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1861883712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BARKLEY CIR",
            "address_2": "SUITE # 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074543",
            "telephone_number": "239-728-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BARKLEY CIR",
            "address_2": "SUITE # 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074543",
            "telephone_number": "239-728-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL A. PARDO, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-728-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0420662-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "08428",
            "state": null
        }
    ],
    "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 Feb 13, 2015; 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.