GULFCOAST FOOT AND ANKLE CENTER (NPI# 1487085833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487085833 |
| Entity Type | Organization |
| Organization Name | GULFCOAST FOOT AND ANKLE CENTER |
| Practice Address |
6101 Pine Ridge Rd 3rd Floor Naples FL 34119-3900 |
| Mailing Address |
9955 Tamiami Trl N Suite 1 Naples FL 34108-1914 |
| Practice Telephone | 2393045161 |
| Practice Fax Number | 2393045193 |
| Mailing Telephone | 2395668800 |
| Mailing Fax Number | 2395668778 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |
| Authorized Official Name | DR. MICKEY EDSON GORDON (OWNER) |
| Authorized Official Telephone | 2395668800 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | GULFCOAST FOOT AND ANKLE CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO0002638 | FL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194156158 | Gulfcoast Foot and Ankle Center | Podiatrist | 3501 Health Center Blvd, Suite 2150, Bonita Springs, FL 34135-8127 | 2013-12-02 |
| Street Address |
6101 PINE RIDGE RD 3RD FLOOR |
| City | NAPLES |
| State | FL |
| Zip Code | 34119-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480941 | Moheb M Mohareb | Surgery | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2005-07-12 |
| 1053919241 | Christopher John Larson | Specialist/Technologist, Other | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-10-11 |
| 1699372672 | Kyle Harrington | Physician Assistant | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-10-03 |
| 1700495389 | Naples Hma LLC | Medicare Defined Swing Bed Unit | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-07-29 |
| 1295350411 | Tian Luo | Surgery | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-06-12 |
| 1891318481 | Capital Anesthesia Solutions of Florida II, LLC | Anesthesiology | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-05-18 |
| 1457986879 | Lory Ann Taraborelli | Clinical Nurse Specialist | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-03-05 |
| 1003453838 | Christina Elana Cibula | Nurse Anesthetist, Certified Registered | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-11-27 |
| 1124671367 | Rebecca Nicole Orr | Pharmacist | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-07-17 |
| 1174188999 | Carrie Daugherty | Nurse Anesthetist, Certified Registered | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871776377 | Foot &ankle Associates of North Naples,p.a. | Podiatrist | 10621 Airport Pulling Rd N, Suite 4, Naples, FL 34109-7333 | 2007-12-07 |
| 1194752659 | Philip Jay Organ | Podiatrist | 8340 Collier Blvd, 302, Naples, FL 34114-3625 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531286 | Samuel S Woociker Dpm Pa | Podiatrist | 445 Warrior Trl, Enterprise, FL 32725-2456 | 2020-02-26 |
| 1467090639 | Ankle Foot and Leg Centers Inc. | Podiatrist | 3075 Chestnut Ridge Way, Orange Park, FL 32065-3629 | 2019-12-18 |
| 1396205423 | Scott Jeffry Blutstein | Podiatrist | 10578 Sw Capraia Way, Port St Lucie, FL 34986-2885 | 2019-03-24 |
| 1265968929 | Northeast Florida Endocrine & Diabetes Associates, Pa | Podiatrist | 11236 Baptist Health Dr, Suite 340, Jacksonville, FL 32218-2980 | 2017-05-02 |
| 1184163784 | Patrick Dennis Martyka | Podiatrist | 4631 Nw 5th Ave, Oakland Park, FL 33309-4002 | 2017-02-15 |
| 1700237799 | Rebecca Desimone | Podiatrist | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | 2016-06-30 |
| 1326403585 | Gentle Care Podiatry, LLC | Podiatrist | 8450 Gate Pkwy W, Unit 1504, Jacksonville, FL 32216-1049 | 2015-12-15 |
| 1528441904 | Zain Barnouti | Podiatrist | 9310 Old Kings S Rd 1201, Jacksonville, FL 32257-6196 | 2015-07-03 |
| 1790188514 | George Zislis | Podiatrist | 1300 Moffett St Apt 201, Hallandale Beach, FL 33009-2718 | 2014-10-07 |
| 1639411648 | Robert George Smith | Podiatrist | 723 Lucerne Cir, Ormond Beach, FL 32174-4624 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GULFCOAST FOOT AND ANKLE CENTER.
| 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.