Edward P Lamotta, MD
Individual provider Active NPI Family Medicine Physician · Sanibel, FL
NPI 1902805757 · NPPES record last updated Oct 27, 2017
Key facts
- NPI
- 1902805757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME74037 (FL)
- Practice address
- 1699 Periwinkle Way
Sanibel, FL 33957-4402 - Phone
- (239) 395-2444
- Fax
- (239) 395-2494
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041209000266 | FL | Practitioner - Family Practice |
0345206629 |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME74037 | FL | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME74037 | FL | |
| Family Medicine Physician | 207Q00000X | ME74037 | FL | Yes |
Addresses
Primary practice location
1699 Periwinkle Way
Sanibel, FL 33957-4402
Mailing address
1699 Periwinkle Way
Sanibel, FL 33957-4402
Phone (239) 395-2444
Other providers in Sanibel, FL
- Island Pharmacy Inc
- Island Therapy Services of Sanibel, LLC
- Steven Alan Jerrett
- Susan Ransom Klemmer
- Charles Andrew Krivenko
- Millennium Physician Group LLC
- Northland Hearing Centers, Inc
- Nuke Me, PA
- Donald L. Olsen
- Danielle Marie Olson-Basora
All providers in Sanibel, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.