MICHAEL J GURUCHARRI (NPI# 1548269293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548269293 |
| Entity Type | Individual |
| Full Name | MICHAEL J GURUCHARRI |
| Credential | M.D. |
| Practice Address |
701 Manatee Ave W Suite 202 Bradenton FL 34205-8604 |
| Practice Telephone | 9417482455 |
| Practice Fax Number | 9417464554 |
| Mailing Telephone | 9417482455 |
| Mailing Fax Number | 9417464554 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2019-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME0045512 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA PROVIDER NUMBER | 624893 | 01 |
| FL | BCBS PROVIDER NUMBER | 30861 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 772 Cortaro Dr, Ruskin, FL 335736811 | 9417482455 | 9417464554 |
| 8340 Lakewood Ranch Blvd Ste 180, Lakewood Ranch, FL 342025185 | 9417482455 | 9417464554 |
| Street Address |
701 MANATEE AVE W SUITE 202 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-8604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851390512 | Thomas N Morrish | Otolaryngology | 701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 | 2005-07-15 |
| 1538676580 | Physical Therapy Doctors of Florida LLC | Physical Therapist | 701 Manatee Ave W, Bradenton, FL 34205-8604 | 2017-12-29 |
| 1023529286 | Ana Julia Paye | Nurse Practitioner | 701 Manatee Ave W, Bradenton, FL 34205-8604 | 2017-10-16 |
| 1932550373 | Florida Surgical Clinic LLC | Surgery | 701 Manatee Ave W, Suite 105, Bradenton, FL 34205-8604 | 2016-06-27 |
| 1437408093 | Kendra Jo Back | Nurse Practitioner | 701 Manatee Ave W, Bradenton, FL 34205-8604 | 2012-08-29 |
| 1316292683 | James B Mason | Specialist | 701 Manatee Ave W, Ste 201, Bradenton, FL 34205-8604 | 2012-07-23 |
| 1194968594 | Jenna Lindsey Caporaso Kazil | Surgery | 701 Manatee Ave W, Suite 105, Bradenton, FL 34205-8604 | 2009-04-14 |
| 1508078130 | Jonathan Mullis | Physical Therapist | 701 Manatee Ave W, Bradenton, FL 34205-8604 | 2007-05-04 |
| 1154548253 | Barbara W Garner | Audiologist | 701 Manatee Ave W, Suite 201, Bradenton, FL 34205-8604 | 2007-04-19 |
| 1750508875 | Patricia M Wolcott | Speech-Language Pathologist | 701 Manatee Ave W, Suite 201, Bradenton, FL 34205-8604 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285059113 | Benjamin Michael Kelley | Otolaryngology | 701 Manatee Ave W Ste 202, Bradenton, FL 34205-8624 | 2014-03-01 |
| 1851390512 | Thomas N Morrish | Otolaryngology | 701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 | 2005-07-15 |
| 1538390646 | Bruce P Dorman Md Pa | Otolaryngology | 311 Manatee Ave E, Bradenton, FL 34208-1933 | 2009-08-06 |
| 1265568109 | Bruce P Dorman | Otolaryngology | 311 Manatee Ave E, Bradenton, FL 34208-1933 | 2007-02-26 |
| 1407815582 | Walter Eric Loch | Otolaryngology | 701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 | 2006-03-20 |
| 1215939590 | Manatee Hearing & Speech Center, Inc. | Otolaryngology | 701 Manatee Ave W, Suite 201, Bradenton, FL 34205-8604 | 2005-08-15 |
| 1326047994 | John C Shelton | Otolaryngology | 701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 | 2005-07-18 |
| 1609875350 | Axay S Kalathia | Otolaryngology | 701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 | 2005-07-15 |
| 1780683441 | Agnes V Nall | Otolaryngology | 701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 | 2005-07-15 |
| 1356340004 | Brian K Hoban | Otolaryngology | 701 Manatee Ave W, Suite 202, Bradenton, FL 34205-8604 | 2005-07-15 |
| Find all providers in BRADENTON | ||||
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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.