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Surgical Consulting Group PA

Surgery Physician in Fort Myers, FL · enumerated 2018 · authorized official David Rideout, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114410214

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Registry record

Entity type Organization (Type 2)
Legal business name Surgical Consulting Group PA
Practice address 3050 Champion Ring Rd, Fort Myers, FL, 33905
Enumeration date Jun 13, 2018
Last updated in NPPES Jul 15, 2021

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License ME129811 (FL) Primary

Authorized official

Name David Rideout
Title President

Other identifiers

Identifier Type State Issuer
102201400 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Surgical Consulting Group PA?
Surgical Consulting Group PA is registered in NPPES as a Surgery Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-15.