Individual provider Active NPI

Alphonsus Maria Zohlandt, M.D.

  • Family Medicine Physician
  • Lehigh Acres, FL
National Provider Identifier
1962583989
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 99030 Issued in FL
Practice address
470 Lee Blvd
Lehigh Acres, FL 33936-4923
Phone
(239) 368-7270
Fax
(239) 368-2741
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 99030 FL Primary

Addresses

Primary practice location

470 Lee Blvd
Lehigh Acres, FL 33936-4923

Mailing address

470 Lee Blvd
Lehigh Acres, FL 33936-4923
Phone (239) 368-7270

Other identifiers 1

IdentifierTypeStateIssuer
U64372OtherFLPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000585 FL Practitioner - Family Practice 5890887855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Bernd Raphael MD PAGroup PAC ID 9436138088, 2 clinicians

Practice addresses (Care Compare)

4316 Lee Blvd
Unit 12B
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

470 Lee Blvd
Lehigh Acres, FL 33936-4923
Phone (239) 368-7270

Hospital & facility affiliations

  • HCA Florida Lehigh Hospital Hospital, Lehigh Acres, FL, CCN 100107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 99030FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bernd Raphael, MD, PA CurrentSince Nov 1, 2011 Accepting new patients

Locations

470 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-7270

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1962583989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364923",
            "telephone_number": "239-368-7270",
            "fax_number": "239-368-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364923",
            "telephone_number": "239-368-7270",
            "fax_number": "239-368-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHLANDT",
        "first_name": "ALPHONSUS",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 99030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "U64372",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.