OrganizationActive
Surgical Consulting Group PA
NPI 1114410214 · Surgery Physician · Fort Myers, FL
Surgical Consulting Group PA is a Surgery Physician organization in Fort Myers, FL (NPI 1114410214).
Provider details
- NPI number
- 1114410214
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Rideout, President(207) 240-3362
- License
- ME129811 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3050 Champion Ring Rd
Fort Myers, FL 33905-5599
Phone: (941) 621-6577
Street-level locationGet directions
Mailing address
Po Box 511644
Punta Gorda, FL 33951-1644
Registry dates
- Enumerated
- 2018-06-13
- Last updated
- 2021-07-15
- Certified
- 2021-07-14
Frequently asked questions
- What is Surgical Consulting Group PA's NPI number?
- Surgical Consulting Group PA's National Provider Identifier (NPI) is 1114410214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgical Consulting Group PA?
- Surgical Consulting Group PA is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Surgical Consulting Group PA located?
- Surgical Consulting Group PA's practice location on file with NPPES is 3050 Champion Ring Rd, Fort Myers, FL 33905-5599.
- What is Surgical Consulting Group PA's phone number?
- The practice phone number listed in the NPPES registry for Surgical Consulting Group PA is (941) 621-6577.
- Who is the authorized official for Surgical Consulting Group PA?
- The authorized official listed on Surgical Consulting Group PA's NPPES record is David Rideout, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgical Consulting Group PA's NPI active?
- Yes — Surgical Consulting Group PA's NPI (1114410214) is active in the NPPES registry as of the last update on 2021-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.