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NPI · 1336147693 · NPPES-sourced

Mr. Earle Pescatore D.O.

ActiveUrogynecology & Reconstructive Pelvic Surgery
NPI Number
1336147693
Type 1 · Individual
Contact
(386) 231-5386
License FL · OS11075
Last Updated
About 8 months ago (Oct 2025)
Enumerated 2005-07-11
Primary practice addressFL · 32164-5982
61 Memorial Medical Pkwy Ste 3807Palm Coast, FL 32164-5982
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About this NPIWhat this record shows.

NPI 1336147693 is registered to Mr. Earle Pescatore D.O., a Urogynecology & Reconstructive Pelvic Surgery practising at 61 Memorial Medical Pkwy Ste 3807 in Palm Coast, Florida. Urogynecology & Reconstructive Pelvic Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Earle Pescatore D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-07-11
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 101552IL· Issued by HEALTH ALLIANCE
  • 10123243IL· Issued by BLUE CROSS BLUE SHIELD
  • 7648181IL· Issued by AETNA
  • IL0100IL· Issued by JOHN DEERE

Source: NPPES public registry.

Medicare enrollment

This provider holds 4 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Earle Pescatore D.O. accepts. To confirm in-network status with your specific health plan, contact Mr. Earle Pescatore D.O. directly at (386) 231-5386.

Frequently asked

Yes. NPI 1336147693 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Urogynecology & Reconstructive Pelvic Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (386) 231-5386.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Earle Pescatore D.O. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207VF0040X
Last updated2025-10
Enumerated2005-07-11
StatusActive
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