SURGICAL CONSULTING GROUP PA
NPI 1114410214
Surgery in Fort Myers, FL

Q: What is Surgical Consulting Group PA's NPI number?

The NPI number for Surgical Consulting Group PA is 1114410214. It was assigned to this organization in the NPPES registry on June 13, 2018.

Q: What is Surgical Consulting Group PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 13, 2018

3050 CHAMPION RING RD, FORT MYERS, FL 33905(941) 621-6577 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2021, Jul 1, 2019, Jun 13, 2018 (3 updates tracked since 2018).

On this page

About Surgical Consulting Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL CONSULTING GROUP PA (NPI 1114410214) is a healthcare organization registered as a surgery in Fort Myers, Florida and active in the NPI registry since June 2018. The organization lists David T Rideout, President, as its authorized official.

NPPES Registry Identity

NPI1114410214

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSURGICAL CONSULTING GROUP PA

Location Address3050 CHAMPION RING RDFort Myers, FL 33905-5599

Mailing AddressPo Box 511644Punta Gorda, FL 33951-1644 · (207) 240-3362

Phone(941) 621-6577

Organization SubpartNo

Authorized OfficialDavid T RideoutPresident · (207) 240-3362

Enumeration DateJune 13, 2018

Last NPPES UpdateJuly 15, 20213 updates tracked since enumeration

NPPES CertifiedJuly 14, 2021

✔ NPI 1114410214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME129811

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3050 CHAMPION RING RD, Fort Myers, FL 33905

Open in Google Maps ↗

Other Identifiers 1

Medicaid102201400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMEET SHETTY M.D.

Internal Medicine