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STEPHEN P MOENNING MD. NPI 1316979214


NPI Information

NPI: 1316979214
Provider Name: STEPHEN P MOENNING, MD.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Organization: LEE MEMORIAL HEALTH SYSTEM

PECOS Registration: Yes

Address:
12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL
ZIP 33907
Phone: (239) 343-9190
Get Directions

Stephen P Moenning, MD. is an addiction medicine family medicine in Fort Myers, FL with 40 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Stephen P Moenning, MD. NPI is 1316979214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

12550 NEW BRITTANY BLVD STE 201
FORT MYERS, FL
ZIP 33907
Phone: (239) 343-9190
Fax: (239) 343-9193

The NPI 1316979214 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 7/7/2006 and was last updated on 3/30/2021.


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
1207QA0401XFamily MedicineAddiction MedicineME46778FLORIDAYes

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
1271843000MEDICAIDFLORIDA

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.