Organization Active NPI

Panira Healthcare Clinic, Inc,

  • Infectious Disease Physician
  • Naples, FL
National Provider Identifier
1972210102
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
PANIRA HEALTHCARE CLINIC, INC,
Practice address
4975 Tamiami TRL E
Naples, FL 34113-4131
Phone
(239) 529-5580
Fax
(239) 280-0264
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Marie Geneve Mongene-Egger, RN/BSN
Title
Coo
Phone
(239) 529-5580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

4975 Tamiami TRL E
Naples, FL 34113-4131

Mailing address

4975 Tamiami TRL E
Naples, FL 34113-4131
Phone (239) 529-5580

Other identifiers 1

IdentifierTypeStateIssuer
021195500MedicaidFL

National Provider Directory

National Provider Directory

Locations

4975 Tamiami Trl E
Naples, FL 34113
Phone (239) 529-5580

Practitioners & affiliated clinicians

Practitioners 2

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": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1972210102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341134131",
            "telephone_number": "239-529-5580",
            "fax_number": "239-280-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341134131",
            "telephone_number": "239-529-5580",
            "fax_number": "239-280-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANIRA HEALTHCARE CLINIC, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "MONGENE-EGGER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "GENEVE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "239-529-5580",
        "authorized_official_credential": "RN/BSN"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021195500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.