Look up the most recent NPI and PECOS records

Naples Medical Center Pa

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Naples Medical Center Pa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1982615126
Provider Type
Organization
Full Name
Naples Medical Center Pa

Subpart
No
Enumeration Date
8/11/2006
Last Updated
10/28/2009

Contact Information

Practice Location

400 8th St N, Naples, FL 34102-5519

(239) 261-5511

(239) 649-3301

Mailing Location

400 8th St N, Naples, FL 34102-5519

(239) 261-5511

(239) 649-3301

Authorized Official

Estes, Sam Richard (Ceo)

(239) 649-3351

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084N0400X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License ME98598 Florida
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RC0000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RE0101X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RH0003X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RP1001X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207RR0500X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207X00000X	Description Orthopaedic Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207Y00000X	Description Otolaryngology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208800000X	Description Urology Allopathic & Osteopathic Physicians	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 39137	Description Other	Issuer BLUE CROSS BLUE SHIELD Florida
ID CJ0476	Description Other	Issuer RR MEDICARE - PALMETTO GB Florida
ID 39137	Description Other	Issuer MEDICARE P-TAN Florida
ID 377629800	Description Medicaid	Issuer Unlisted Florida

Naples Medical Center Pa

PECOS Enrollment

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