Active NPI
Surgery Centre of SW Florida LLC
- Ambulatory Surgical Clinic/Center
- Cape Coral, FL
National Provider Identifier
1881969269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SURGERY CENTRE OF SW FLORIDA LLC
- Practice address
- 665 Del Prado Blvd S
Cape Coral, FL 33990-2666 - Phone
- (239) 772-3636
- Fax
- (239) 772-5073
- NPI assigned
- Mar 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Collin Lemaistre
- Title
- Officer / Authorized Official
- Phone
- (214) 213-0723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
665 Del Prado Blvd S
Cape Coral, FL 33990-2666
Mailing address
665 Del Prado Blvd S
Cape Coral, FL 33990-2666
Phone (239) 772-3636
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10C0001571 | Other | FL | CCN |
| 1352 | Other | FL | LICENSE |
Other names 1
- Cape Health Surgery Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121116000260 | FL | Part B Supplier - Ambulatory Surgical Center | 9739330929 | Practice locations: Cape Coral, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Fort Myers, FL
- NPI 1972092146
9739330929
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgery Centre of SW Florida LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
13051 University Dr
Ste 101
Fort Myers, FL 33907
Phone (239) 433-3636
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Venice, FL
- NPI 1972765055
-
- Gastroenterology Physician
- Cape Coral, FL
- NPI 1306109939
-
- Internal Medicine Physician
- Cape Coral, FL
- NPI 1083876197
-
- Gastroenterology Physician
- Cape Coral, FL
- NPI 1790788909
-
- Gastroenterology Physician
- Bedford, TX
- NPI 1154709814
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1619274172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736640000000",
"number": "1881969269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902666",
"telephone_number": "239-772-3636",
"fax_number": "239-772-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902666",
"telephone_number": "239-772-3636",
"fax_number": "239-772-5073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY CENTRE OF SW FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-19",
"last_updated": "2025-01-12",
"certification_date": "2025-01-12",
"status": "A",
"authorized_official_last_name": "LEMAISTRE",
"authorized_official_first_name": "COLLIN",
"authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-213-0723"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "10C0001571",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1352",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Cape Health Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cape Health Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.