JEFFREY WINFIELD INNIS MD NPI 1053321679

NPI Information

NPI: 1053321679
Provider Name: JEFFREY WINFIELD INNIS, MD
Classification: Medical Genetics - 207SG0203X
Specialization: Clinical Molecular Genetics
Entity Type: Individual
PECOS Registration: Yes
Address: 23450 VIA COCONUT PT
ESTERO, FL
ZIP 34135
Phone: (239) 468-0210

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NPI Details

Jeffrey Winfield Innis, MD is a clinical molecular genetics medical genetics in Estero, FL with 41 years of experience. The provider is a clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. Jeffrey Winfield Innis, MD NPI is 1053321679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23450 VIA COCONUT PT
ESTERO, FL
ZIP 34135-877
Phone: (239) 468-0210
Fax: (239) 343-4236

The NPI 1053321679 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 8/8/2006 and was last updated on 4/4/2022.

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	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	4301058671	MICHIGAN	No
2	208000000X	Pediatrics		4301058671	MICHIGAN	No
3	207SG0203X	Medical Genetics	Clinical Molecular Genetics	ME152778	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	113233700	MEDICAID	FLORIDA
2	2774825	MEDICAID	MICHIGAN

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: 11/21/2025

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