Active NPI
Dr. Fereshteh Nourafshar M.D.
- Pediatrics Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME76450
- Legal business name
- DR. FERESHTEH NOURAFSHAR M.D.
- Practice address
- 4575 Via Royale
Suite 216
Fort Myers, FL 33919-1043 - Phone
- (239) 277-9009
- Fax
- (239) 277-9007
- NPI assigned
- Oct 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fereshteh Nourafshar, M.D.
- Title
- Owner
- Phone
- (239) 949-9992
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME76450 | FL | Primary |
Addresses
Primary practice location
4575 Via Royale
Suite 216
Fort Myers, FL 33919-1043
Mailing address
9200 Bonita Beach Rd SE
Suite 106
Bonita Springs, FL 34135-4280
Phone (239) 949-9992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260538400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
9200 Bonita Beach Rd SE
Ste 106
Bonita Springs, FL 34135
Phone (239) 213-0690
4575 Via Royale
Ste 216
Fort Myers, FL 33919
Phone (239) 277-9009
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Fort Myers, FL
- NPI 1932152444
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1063465805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412121600000",
"number": "1972906261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 BONITA BEACH RD SE",
"address_2": "SUITE 106",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354280",
"telephone_number": "239-949-9992",
"fax_number": "239-949-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4575 VIA ROYALE",
"address_2": "SUITE 216",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339191043",
"telephone_number": "239-277-9009",
"fax_number": "239-277-9007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. FERESHTEH NOURAFSHAR M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-01",
"last_updated": "2014-10-01",
"status": "A",
"authorized_official_last_name": "NOURAFSHAR",
"authorized_official_first_name": "FERESHTEH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-949-9992",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME76450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260538400",
"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 Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.