MRS. LINDA MARIAN YARRIS-EWERT PH.D M.D. P.A. NPI 1780796359

NPI Information

NPI: 1780796359
Provider Name: MRS. LINDA MARIAN YARRIS-EWERT, PH.D, M.D., P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
12545 NEW BRITTANY BLVD
SUITE 26
FORT MYERS, FL
ZIP 33907
Phone: (239) 274-2071
Get Directions

MRS. Linda Marian Yarris-ewert, PH.D, M.D., P.A. is a family medicine in Fort Myers, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MRS. Linda Marian Yarris-ewert, PH.D, M.D., P.A. NPI is 1780796359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12545 NEW BRITTANY BLVD
SUITE 26
FORT MYERS, FL
ZIP 33907-625
Phone: (239) 274-2071
Fax: (239) 274-2075

The NPI 1780796359 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		ME0064852	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23801A	MEDICARE PIN	FLORIDA
2	194736	OTHER	FLORIDA	STAYWELL HEALTHY KIDS
3	23801	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
4	AS19990440001	OTHER	FLORIDA	CIGNA INSURANCE
5	65-1147398	OTHER	FLORIDA	TAX ID NUMBER
6	374409400	MEDICAID	FLORIDA
7	23801	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
8	2666792	OTHER	FLORIDA	AETNA HEALTHCARE
9	F74038	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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