GULF COAST ORTHOPEDIC CENTER (NPI# 1487765566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487765566 |
| Entity Type | Organization |
| Organization Name | GULF COAST ORTHOPEDIC CENTER |
| Practice Address |
7315 Hudson Ave Hudson FL 34667-1158 |
| Mailing Address |
Po Box 5515 Hudson FL 34674-5515 |
| Practice Telephone | 7278689563 |
| Practice Fax Number | 7278696909 |
| Mailing Telephone | 7278689563 |
| Mailing Fax Number | 7278696909 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | MRS. LISA DAWN HANSHEW (BUSINESS MANAGER) |
| Authorized Official Telephone | 7278689563 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 72078 | 01 |
| FL | DEPARTMENT OF LABOR | 228711800 | 01 |
| Street Address |
7315 HUDSON AVE |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094614 | Miguel Lis-planells | Specialist | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2005-09-27 |
| 1740899152 | Amy Colgan Myllynen | Nurse Practitioner | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2020-07-31 |
| 1932402757 | American Surgeons Inc. | Neurological Surgery | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2010-12-16 |
| 1588843601 | Karl Swanson | Specialist | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2007-10-25 |
| 1659406783 | George B Bley II | Chiropractor | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2007-02-22 |
| 1700930005 | Denise Ericson | Nurse Practitioner | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2007-01-23 |
| 1568516565 | Kenneth Coyne | Nurse Practitioner | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2007-01-23 |
| 1861546061 | Gcoc Physical Therapy | Clinic/Center | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2007-01-23 |
| 1801948138 | David R Hirschauer Do Pa | Anesthesiology | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2007-01-17 |
| 1649320698 | Robert P Dunn | Radiology | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295710465 | Jeffrey S Tharp | Orthopaedic Surgery | 1320 Corporate Dr, Ste 100, Hudson, OH 44236-4442 | 2005-12-10 |
| 1194964502 | Gulf Coast Spine Institute | Orthopaedic Surgery | 14153 Yosemite Dr, Suite 203, Hudson, FL 34667-8060 | 2009-02-09 |
| 1457469660 | Alfred Bonati | Orthopaedic Surgery | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2006-08-28 |
| 1336138254 | David L Scott | Orthopaedic Surgery | 7315 Hudson Ave, Hudson, FL 34667-1158 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293215 | Citrus Spine Institute LLC | Orthopaedic Surgery | 1409 Kingsley Ave Ste 9f, Orange Park, FL 32073-4579 | 2019-09-04 |
| 1194383638 | Ortho Florida, LLC | Orthopaedic Surgery | 8190 S Jog Rd Ste 101, Boynton Beach, FL 33472-2911 | 2019-05-30 |
| 1821571175 | Orthopedic Spine Solutions Corp | Orthopaedic Surgery | 3852 Sheridan St, Hollywood, FL 33021-3634 | 2018-09-12 |
| 1194223461 | Select Health of Fl, LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760a, Miami, FL 33131-1815 | 2018-01-31 |
| 1568960839 | Spine Cin of Jacksonville LLC | Orthopaedic Surgery | 1301 Riverplace Blvd Ste 800a, Jacksonville, FL 32207-9047 | 2018-01-31 |
| 1912405283 | Spine Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301a, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1386142644 | Joint Replacement Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301b, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1366940140 | Joint Replacement Cin of Orlando LLC | Orthopaedic Surgery | 5401 S Kirkman Rd Ste 310b, Orlando, FL 32819-7940 | 2018-01-26 |
| 1811495690 | Joint Replacement Cin of Miami LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760b, Miami, FL 33131-1815 | 2018-01-26 |
| 1689182362 | Fss Keys LLC | Orthopaedic Surgery | 1111 12th St Ste 108, Key West, FL 33040-4087 | 2018-01-17 |
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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.