DR. PETER ANTHONY PANTERA D.P.M. NPI 1184750358

NPI Information

NPI: 1184750358
Provider Name: DR. PETER ANTHONY PANTERA, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

Organization: CHEROKEE NATION

PECOS Registration: Yes

Address:
3033 WINKLER AVENUE EXT
FORT MYERS, FL
ZIP 33916
Phone: (239) 939-3939
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DR. Peter Anthony Pantera, D.P.M. is a foot surgery podiatrist in Fort Myers, FL with 31 years of experience. DR. Peter Anthony Pantera, D.P.M. NPI is 1184750358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1993

The provider's business location address is:

3033 WINKLER AVENUE EXT
FORT MYERS, FL
ZIP 33916-413
Phone: (239) 939-3939
Fax: (239) 939-7641

The NPI 1184750358 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).

The enumeration date for this NPI number is 2/24/2007 and was last updated on 4/9/2008.

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	213ES0131X	Podiatrist	Foot Surgery	PO 2663	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	U59390	MEDICARE UPIN	FLORIDA
2	65541	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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