WITTENBORN PLASTIC SURGERY LLC
NPI 1639333115
Plastic Surgery in Fort Myers, FL

Active since July 15, 2008
14131 METROPOLIS AVE STE 105, FORT MYERS, FL 33912(239) 561-2313(888) 500-2420 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Plastic Surgery

About WITTENBORN PLASTIC SURGERY LLC

This page provides the complete NPI Profile along with additional information for Wittenborn Plastic Surgery Llc, a provider established in Fort Myers, Florida operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1639333115 assigned on July 2008. The practitioner's primary taxonomy code is 208200000X with license number 87881 (FL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. William Scott Wittenborn M.d. (Owner)

NPI
1639333115 Verify this NPI
Provider Name
WITTENBORN PLASTIC SURGERY LLC
Entity Type
Organization
Location Address
14131 METROPOLIS AVE STE 105 FORT MYERS, FL 33912
Location Phone
(239) 561-2313
Location Fax
(888) 500-2420
Mailing Address
13300 S CLEVELAND AVE STE 56 #261 FORT MYERS, FL 33907
Mailing Phone
(239) 561-2313
Mailing Fax
(888) 500-2420
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2008
Last Update Date
05-06-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
87881
License State
FL
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WILLIAM SCOTT WITTENBORN M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(239) 561-2313

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H91878MEDICARE PIN (08)FL 
71645XOTHER (01)FLMEDICARE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
14131 METROPOLIS AVE STE 105
FORT MYERS, FL 33912
Nurse Practitioner
14131 METROPOLIS AVE STE 105
FORT MYERS, FL 33912

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639333115, enumerated as an "organization" on July 15, 2008.

The provider is located at 14131 METROPOLIS AVE STE 105 FORT MYERS, FL 33912 and the phone number is (239) 561-2313.

Plastic Surgery with taxonomy code 208200000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.