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LAERTES A MANUELIDIS M.D. NPI 1245220698


NPI Information

NPI: 1245220698
Provider Name: LAERTES A MANUELIDIS, M.D.
Classification: Pathology - 207ZD0900X
Entity Type: Individual

Specialization: Dermatopathology

Organization: ASSOCIATES IN DERMATOLOGY M D P L

PECOS Registration: Yes

Address:
8381 RIVERWALK PARK BLVD
SUITE 1
FORT MYERS, FL
ZIP 33919
Phone: (239) 936-5425
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Laertes A Manuelidis, M.D. is a dermatopathology pathology in Fort Myers, FL with 27 years of experience. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. Laertes A Manuelidis, M.D. NPI is 1245220698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

8381 RIVERWALK PARK BLVD
SUITE 1
FORT MYERS, FL
ZIP 33919-760
Phone: (239) 936-5425
Fax: (239) 936-5176

The NPI 1245220698 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

The enumeration date for this NPI number is 10/26/2005 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZD0900XPathologyDermatopathologyME87314FLORIDAYes
2207NS0135XDermatologyProcedural DermatologyME87314FLORIDAX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
178611OTHERFLORIDABC BS OF FLA
2H87718MEDICARE UPIN
378611ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
47082420OTHERFLORIDAAETNA
5P00038301OTHERFLORIDARR MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.