LINDA YARRIS-EWERT PHD MD PA NPI 1053557124

NPI Information

NPI: 1053557124
Provider Name: LINDA YARRIS-EWERT PHD MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
12545 NEW BRITTANY BLVD
FORT MYERS, FL
ZIP 33907
Phone: (239) 274-2071
Get Directions

LINDA YARRIS-EWERT PHD MD PA 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. LINDA YARRIS-EWERT PHD MD PA NPI is 1053557124. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

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

The provider's authorized official is Linda Marian Yarris-ewert .
The authorized official title is Physician/owner and has the following contact phone number (239) 274-2071.

The enumeration date for this NPI number is 12/19/2008 and was last updated on 1/7/2009.

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		0064852	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	23801	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
2	F74038	MEDICARE UPIN	FLORIDA
3	374409400	OTHER	FLORIDA	MEDICAID
4	23801A	MEDICARE PIN	FLORIDA
5	2666792	OTHER	FLORIDA	AETNA HEALTHCARE
6	194736	OTHER	FLORIDA	STAYWELL HEALTHY KIDS
7	AS19990440001	OTHER	FLORIDA	CIGNA INSURANCE

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: 11/14/2023

NPI Synchronization or Removal

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