Organization Active NPI

Dr. Naser Kamkar M.D. P.a.

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1942500483
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME73532 Issued in FL
Legal business name
DR. NASER KAMKAR M.D. P.A.
Practice address
3660 Central Ave
Suite 15
Fort Myers, FL 33901-7699
Phone
(239) 277-9009
Fax
(239) 277-9007
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Naser Kamkar, M.D.
Title
Owner
Phone
(239) 277-9009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME73532 FL Primary

Addresses

Primary practice location

3660 Central Ave
Suite 15
Fort Myers, FL 33901-7699

Mailing address

3660 Central Ave
Suite 15
Fort Myers, FL 33901-7699
Phone (239) 277-9009

Other identifiers 1

IdentifierTypeStateIssuer
253009100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1942500483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 CENTRAL AVE",
            "address_2": "SUITE 15",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017699",
            "telephone_number": "239-277-9009",
            "fax_number": "239-277-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 CENTRAL AVE",
            "address_2": "SUITE 15",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017699",
            "telephone_number": "239-277-9009",
            "fax_number": "239-277-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NASER KAMKAR M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "KAMKAR",
        "authorized_official_first_name": "NASER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-277-9009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME73532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253009100",
            "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 Nov 1, 2010; 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.