Organization Active NPI

Neal Beightol, MD, PA

  • Family Medicine Physician
  • Marco Island, FL
National Provider Identifier
1952330722
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME69583 Issued in FL
Legal business name
NEAL BEIGHTOL, MD, PA
Practice address
1845 San Marco Rd Ste 303
Marco Island, FL 34145-6712
Phone
(239) 649-5020
Fax
(239) 307-5193
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Neal Beightol, MDNPI 1104855972
Title
Owner
Phone
(239) 649-5020

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME69583 FL Primary

Addresses

Primary practice location

1845 San Marco Rd Ste 303
Marco Island, FL 34145-6712

Mailing address

PO Box 7279
Naples, FL 34101-7279
Phone (239) 649-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050215000147 FL Part B Supplier - Clinic/Group Practice 4284686635 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

1845 San Marco Rd
Ste 303
Marco Island, FL 34145
Phone (239) 649-5020

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1952330722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7279",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341017279",
            "telephone_number": "239-649-5020",
            "fax_number": "239-307-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 SAN MARCO RD STE 303",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341456712",
            "telephone_number": "239-649-5020",
            "fax_number": "239-307-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL BEIGHTOL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "BEIGHTOL",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-649-5020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME69583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.