GULF COAST SURGICAL GROUP, LLC (NPI# 1023475985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023475985 |
| Entity Type | Organization |
| Organization Name | GULF COAST SURGICAL GROUP, LLC |
| Practice Address |
2439 Country Place Blvd Suite 102 Trinity FL 34655-1163 |
| Practice Telephone | 7278451662 |
| Practice Fax Number | 7272648869 |
| Mailing Telephone | 7278451662 |
| Mailing Fax Number | 7272648869 |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | DR. JARED CONTE FRATTINI (CEO) |
| Authorized Official Telephone | 7278451662 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2439 COUNTRY PLACE BLVD SUITE 102 |
| City | TRINITY |
| State | FL |
| Zip Code | 34655-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047670 | Annamarie Kondek | Colon & Rectal Surgery | 100 N Dean Rd Ste 200b, Orlando, FL 32825-3710 | 2019-11-18 |
| 1821645458 | Rs Surgical | Colon & Rectal Surgery | 4608 Swilcan Bridge Ln S, Jacksonville, FL 32224-5620 | 2019-08-19 |
| 1265927297 | South Florida Colorectal Institute Pllc | Colon & Rectal Surgery | 1600 S Federal Hwy Ste 420, Pompano Beach, FL 33062-7531 | 2018-06-22 |
| 1881036440 | Michael Jay Haimo | Colon & Rectal Surgery | 3020 Ne 44th St, Fort Lauderdale, FL 33308-5308 | 2013-07-24 |
| 1083973408 | Marco Ferrara | Colon & Rectal Surgery | 110 W Underwood St Ste A, Orlando, FL 32806 | 2012-05-04 |
| 1760748784 | Juliet June Ray | Colon & Rectal Surgery | 5503 S Congress Ave Ste 206, Atlantis, FL 33462-6626 | 2012-04-03 |
| 1033496401 | Dennis Alan Fried | Colon & Rectal Surgery | 680 Ternberry Forest Dr, The Villages, FL 32162-6446 | 2011-11-12 |
| 1992004600 | Robert John Yu | Colon & Rectal Surgery | 550 Memorial Cir Ste H, Ormond Beach, FL 32174-5055 | 2011-03-21 |
| 1487970679 | Anal Rectal Clinic Pa | Colon & Rectal Surgery | 40124 Highway 27 Ste 203, Davenport, FL 33837-5905 | 2010-04-13 |
| 1629210836 | Amit Sharma | Colon & Rectal Surgery | 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 | 2009-04-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GULF COAST SURGICAL GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.