Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497713549 Individual Practitioner Male Practitioner

Dr. Martin John Mckenna , MD

Pediatrics • Estero, FL

Professional Overview & Biography Verified Profile Summary

Dr. Martin Mckenna, MD is a registered healthcare professional specializing in Pediatrics in Estero, FL. Practice services are available at 9911 CORKSCREW ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9911 Corkscrew Road
Suite 101

Estero, FL 33928

Telephone 2397682111
Fax 2399475007
Associated Practice Facility / Clinic
🏢 Island Coast Pediatrics Facility NPI 1215962386

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Estero, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Estero, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME66709

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
376808200 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
NPI 1043278161

Doctor of Medicine (M.D.)

Jennifer Hartman , CRNP

Nurse Practitioner - Pediatrics

NPI 1295729887

Certified Registered Nurse Practitioner

NPI 1326006479

Doctor of Medicine (M.D.)

NPI 1366400434

Doctor of Medicine (M.D.)

Vincent Munizza , PA

Physician Assistant

NPI 1457309601

Physician Assistant

NPI 1457318032

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2013

Registered at 9911 CORKSCREW ROAD, SUITE 101, ESTERO, FL 33928 (Tel: 2397682111)

📍
Updated Business Mailing Address August 14, 2013

Registered at 12550 PROFESSIONAL PARK DRIVE, SUITE 11, FORT MYERS, FL 33913 (Tel: 2397682111)

👤
Provider Name / Credentials Updated August 14, 2013

Recorded as MARTIN MCKENNA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2013

Pediatrics (License #ME66709 in FL)

🟢
Initial NPI Registration & Enumeration May 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497713549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2006
Last Update: August 14, 2013
Sole Proprietor: No

Mailing Address

12550 Professional Park Drive, Suite 11

Fort Myers, FL 33913

Phone: 2397682111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.