IKER LEYCEGUI-GARDOQUI (NPI# 1568556546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568556546 |
| Entity Type | Individual |
| Full Name | IKER LEYCEGUI-GARDOQUI |
| Credential | MD |
| Practice Address |
145 Nw Central Park Plz Suite 101 Port St Lucie FL 34986-2482 |
| Practice Telephone | 7728731919 |
| Practice Fax Number | 7728731171 |
| Mailing Telephone | 7728731919 |
| Mailing Fax Number | 7728731171 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME 95881 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 277512300 | 05 | |
| FL | MEDICARE PTAN | AB628Y | 01 |
| FL | MEDICARE PTAN | CU246A | 01 |
| Street Address |
145 NW CENTRAL PARK PLZ SUITE 101 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-2482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619397783 | Apex Toxicology | Clinical Medical Laboratory | 145 Nw Central Park Plz, Suite 114, Port St Lucie, FL 34986-2482 | 2014-04-16 |
| 1427485788 | Apex Counseling, LLC. | Substance Abuse Rehabilitation Facility | 145 Nw Central Park Plz, Suite 113, Port St Lucie, FL 34986-2482 | 2013-10-02 |
| 1689799397 | Florida West Home Care, Inc | Home Health | 145 Nw Central Park Plz, Suite 105, Port St Lucie, FL 34986-2482 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1669971453 | Alexandra Berger, Md-p.a. | Internal Medicine | 1701 Se Hillmoor Dr Ste 5, Port St Lucie, FL 34952-7552 | 2018-02-07 |
| 1891175964 | Samantha Baroody | Internal Medicine | 1095 Nw Saint Lucie West Blvd Ste 220, Port St Lucie, FL 34986-1719 | 2015-06-04 |
| 1871725770 | George Edward Hartman | Internal Medicine | 223 Nw Chorale Way, Port St Lucie, FL 34986-2621 | 2009-08-12 |
| 1750562104 | Adam Greenberg M D P A | Internal Medicine | 1846 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2007-11-14 |
| 1528262565 | Sushma Parekh | Internal Medicine | 578 Sw Sanctuary Dr, Port St Lucie, FL 34986-2044 | 2007-06-13 |
| 1962505206 | Darron Lewis | Internal Medicine | 1700 Se Hillmoor Dr Ste 407, Port St Lucie, FL 34952-7561 | 2006-09-05 |
| 1043226061 | Philip Lortz | Internal Medicine | 1855 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5530 | 2006-07-31 |
| 1083643233 | Shamsher Bakth | Internal Medicine | 1801 Se Hillmoor Dr Ste C-208, Port St Lucie, FL 34952-7574 | 2006-07-01 |
| 1194771386 | Juan M Escobar | Internal Medicine | 7664 S Us Highway 1, Port St Lucie, FL 34952-2320 | 2006-05-26 |
| 1528043866 | Jose Filipe Pinto | Internal Medicine | 10023 S Us Hwy 1, Suite A, Port St Lucie, FL 34952-5643 | 2005-12-09 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
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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.