MR. KEVIN J GALLEN (NPI# 1366412405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366412405 |
| Entity Type | Individual |
| Full Name | MR. KEVIN J GALLEN |
| Credential | P.A. |
| Practice Address |
1350 Tamiami Trl N #202 Naples FL 34102-5203 |
| Practice Telephone | 2392620020 |
| Practice Fax Number | 2392625980 |
| Mailing Telephone | 2392620020 |
| Mailing Fax Number | 2392625980 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9101773 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1350 TAMIAMI TRL N #202 |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295136240 | Kristen Marie Mclaughlin | Physician Assistant | 1350 Tamiami Trl N, Suite 201, Naples, FL 34102-5209 | 2014-09-09 |
| 1043624174 | A1 Imaging Centers, LLC | Clinic/Center | 1350 Tamiami Trl N, Suite 101, Naples, FL 34102-5209 | 2014-06-17 |
| 1740579481 | Vein Care Specialists of South Florida, Inc | Specialist | 1350 Tamiami Trl N, Ste 204, Naples, FL 34102-5209 | 2011-04-04 |
| 1861538902 | Philip Regala Md Pl | Orthopaedic Surgery | 1350 Tamiami Trl N, #203, Naples, FL 34102-5203 | 2007-01-29 |
| 1073659199 | Michael T Havig Md Pl | Orthopaedic Surgery | 1350 Tamiami Trl N, #202, Naples, FL 34102-5203 | 2007-01-29 |
| 1114014677 | Vascular Specialists of South Florida LLC | Specialist | 1350 Tamiami Trl N, Suite 202, Naples, FL 34102-5203 | 2006-10-06 |
| 1780780569 | Veins Care Specialists of South Florida | Specialist | 1350 Tamiami Trl N, Suite 205a, Naples, FL 34102-5203 | 2006-09-16 |
| 1003922832 | American Radiology Services Banyan Center LLC | Clinic/Center | 1350 Tamiami Trl N, Suite101, Naples, FL 34102-5203 | 2006-08-22 |
| 1467471235 | Mark John Marzano | Clinic/Center | 1350 Tamiami Trl N, Ste 101, Naples, FL 34102-5209 | 2006-07-19 |
| 1063455707 | Eric J Hochman | Internal Medicine | 1350 Tamiami Trl N, Ste 101, Naples, FL 34102-5209 | 2006-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1669591673 | Tansy Walker | Physician Assistant | 6101 Pine Ridge Rd # Pfs4, Naples, FL 34119-3900 | 2007-03-29 |
| 1730222662 | Myles Rubin Samotin Md Pa | Physician Assistant | 870 111th Ave N Ste 4, Naples, FL 34108-1869 | 2007-02-14 |
| 1417598970 | Ryan Thomas Hebda | Physician Assistant | 1250 Pine Ridge Rd Ste 201, Naples, FL 34108-8913 | 2019-10-04 |
| 1144796004 | Aleem Uddin | Physician Assistant | 311 9th St N Ste 100, Naples, FL 34102-5886 | 2018-10-18 |
| 1063922110 | David T Albritton | Physician Assistant | 1250 Pine Ridge Rd Ste 203, Naples, FL 34108-8913 | 2017-10-03 |
| 1750827416 | Kile Skrobacki | Physician Assistant | 350 7th St N, Naples, FL 34102-5754 | 2017-01-18 |
| 1093250763 | Dana Zeitler | Physician Assistant | 1250 Pine Ridge Rd, Naples, FL 34108-8913 | 2017-01-04 |
| 1376086934 | Melissa M Guzman | Physician Assistant | 399 9th St N, Naples, FL 34102-5820 | 2016-11-29 |
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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.