MOORINGS PARK HEALTHY LIVING, INC (NPI# 1083022982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083022982 |
| Entity Type | Organization |
| Organization Name | MOORINGS PARK HEALTHY LIVING, INC |
| Practice Address |
132 Moorings Park Dr Naples FL 34105-2122 |
| Practice Telephone | 2394306387 |
| Practice Fax Number | 2394306365 |
| Mailing Telephone | 2394306387 |
| Mailing Fax Number | 2394306365 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | TIMOTHY S BUIST (CFO) |
| Authorized Official Telephone | 2392611616 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOORINGS PARK HEALTHY LIVING, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114296209 | Moorings Park Healthy Living, Inc | Internal Medicine | 120 Moorings Park Dr, Naples, FL 34105-2122 | 2011-12-20 |
| Street Address |
132 MOORINGS PARK DR |
| City | NAPLES |
| State | FL |
| Zip Code | 34105-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831153964 | Ruben Contreras | Family Medicine | 132 Moorings Park Dr, Naples, FL 34105-2122 | 2006-04-14 |
| 1063882157 | Moorings Incorporated | Clinic/Center | 132 Moorings Park Dr, Naples, FL 34105-2122 | 2015-10-01 |
| 1760883276 | Moorings Park Healthy Living | Internal Medicine | 132 Moorings Park Dr, Naples, FL 34105-2122 | 2014-09-16 |
| 1578581773 | Mark Goldstein | Internal Medicine | 132 Moorings Park Dr, Naples, FL 34105 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593647 | Derek Paul Wimmer | Physician Assistant | 1410 Mariposa Circle #105, Naples, FL 34105 | 2012-10-24 |
| 1851522007 | Excel Physical Therapy of Naples, Inc. | Physical Therapist | 13020 Livingston Rd., Suite #9, Naples, FL 34105 | 2009-08-06 |
| 1902057235 | Dewayne Lockhart Jr. | Anesthesiology | 3555 Kraft Rd Suite 120, Naples, FL 34105 | 2008-10-06 |
| 1578789830 | John Urban Peters | Family Medicine | 4745 Europa Dr, Naples, FL 34105 | 2007-04-17 |
| 1386799534 | Suncoast Dental Center | Dentist | 13040 Livingston Rd Suite 3, Naples, FL 34105 | 2007-01-25 |
| 1326198862 | Amanda Weaver | Specialist/Technologist | 1220 Reserve Way, #306, Naples, FL 34105 | 2007-01-10 |
| 1093813669 | Jeffrey Michael Rosenfield | Emergency Medicine | 13030 Livingston Road, Suite 3, Naples, FL 34105 | 2006-09-20 |
| 1871916486 | Anik Lauzon | Physical Therapist | 13020 Livingston Rd, #9, Naples, FL 34105 | 2014-02-03 |
| 1851454094 | Moorings Park Community Health | Clinic/Center | 111 Moorings Park Dr, Naples, FL 34105-2118 | 2006-12-19 |
| 1932134020 | Gustavo Medina | Physical Medicine & Rehabilitation | 130 Moorings Park Dr, Naples, FL 34105-2122 | 2006-07-11 |
| Find all providers in zip 34105 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851307177 | Bernard V Jasmin | Internal Medicine | 200 Cocohatchee Dr, Naples, FL 34110-1191 | 2006-07-31 |
| 1942249198 | Obayedur R Khan | Internal Medicine | 599 Tamiami Trl N Ste 204, Naples, FL 34102-5623 | 2006-06-05 |
| 1306822184 | Elisabeth Broderick | Internal Medicine | 13020 Livingston Rd, Naples, FL 34105-5021 | 2005-12-22 |
| 1740281872 | David Austin Gehring | Internal Medicine | 2685 Horseshoe Dr S, Va Primary Care Clinic, Naples, FL 34104-6113 | 2005-08-10 |
| 1952876724 | Rizzi Geriatrics Associates | Internal Medicine | 936 Barcarmil Way, Naples, FL 34110-0903 | 2018-10-09 |
| 1144771825 | Gabriel T. Rizzi Md | Internal Medicine | 936 Barcarmil Way, Naples, FL 34110-0903 | 2016-10-18 |
| 1760883276 | Moorings Park Healthy Living | Internal Medicine | 132 Moorings Park Dr, Naples, FL 34105-2122 | 2014-09-16 |
| 1164841995 | Urooj Qazi | Internal Medicine | 730 Goodlette Rd N Ste 100, Naples, FL 34102-5617 | 2014-04-09 |
| 1588093512 | Joseph Paul Bandeira | Internal Medicine | 311 9th St N Ste 110, Naples, FL 34102-5886 | 2013-11-12 |
| 1114296209 | Moorings Park Healthy Living, Inc | Internal Medicine | 120 Moorings Park Dr, Naples, FL 34105-2122 | 2011-12-20 |
| Find all providers in NAPLES | ||||
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| 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.