DR. DOUGLAS GOTTSCHALK


Address: 16230 Summerlin Rd, Suite 215, Fort Myers, FL 33908-5768
Phone: 2393436050

DR. DOUGLAS GOTTSCHALK (NPI# 1598724619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598724619
Entity Type Individual
Full Name DR. DOUGLAS GOTTSCHALK
Practice Address 16230 Summerlin Rd
Suite 215
Fort Myers
FL 33908-5768
Mailing Address Po Box 2147
Fort Myers
FL 33902-2147
Practice Telephone 2393436050
Mailing Telephone 2394241400
Mailing Fax Number 2394241421
Enumeration Date 2006-03-18
Last Update Date 2016-12-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
OS11438 FL Allopathic & Osteopathic Physicians
N 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
M8003 TX Allopathic & Osteopathic Physicians
N 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
E-4158 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 209200902 05
FL 005834300 05

Office Location

Street Address 16230 SUMMERLIN RD
SUITE 215
City FORT MYERS
State FL
Zip Code 33908-5768

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720077159 Gerard Joseph Fitzpatrick Family Medicine 16230 Summerlin Rd, Suite 213-218, Fort Myers, FL 33908 2005-10-18
1467907006 Amanda Gostigian Physician Assistant 16230 Summerlin Rd, Suite 213-218, Fort Myers, FL 33908-5768 2016-08-24
1790161248 Heather Masse Haddock Clinical Nurse Specialist 16230 Summerlin Rd, Suite 215, Fort Myers, FL 33908-5768 2015-08-07
1750500922 Amy B. Stanfill Surgery 16230 Summerlin Rd, Ste 215, Fort Myers, FL 33908-5769 2007-04-25
1548271067 Evans Pierre Valerie Surgery 16230 Summerlin Rd, Suite 215, Fort Myers, FL 33908-5768 2006-08-10
1780646828 Robert Keith Minkes Surgery 16230 Summerlin Rd, Ste 215, Fort Myers, FL 33908-5769 2006-04-04
1023009966 Andreas H Werle Specialist 16230 Summerlin Rd, Suite 215, Fort Myers, FL 33908-5768 2005-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760081806 1 Recovery Community/Behavioral Health 111 Daniels Dr, Fort Myers, FL 33908 2020-10-20
1457916462 Avipharm, LLC Pharmacy 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 2019-05-06
1013492289 Craig M Stein Pharmacist 15236 Tropic Bird Court, Fort Myers, FL 33908 2018-10-03
1730665167 Kyndra Lynn Petrick Psychiatry & Neurology 8560 Big Mangrove Dr, Fort Myers, FL 33908 2018-07-18
1447757547 Douglas L Jarrett Nurse Practitioner 16261 Bass Rd Suite 300, Fort Myers, FL 33908 2018-04-06
1447754825 Luis Daniel Ramos General Practice 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 2018-03-21
1619497062 Vanesa Paola Vaquer Dentist 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 2017-06-26
1962859603 Teresa Ruiz Behavior Technician 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 2016-05-23
1669865721 Elena B. Alexiev Dentist 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 2015-03-13
1134488919 Cecelia Anne Collins Dietitian, Registered 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 2012-05-14
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Taxonomy Information

Taxonomy Code 207YP0228X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Pediatric Otolaryngology

Taxonomy Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619389962 Pediatric Ent of Southwest Florida Pllc Otolaryngology 19 Georgetown, Fort Myers, FL 33919-1088 2014-05-21
1417494873 Kidz Pediatric Multispecialty Otolaryngology 14421 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4323 2017-01-24
1306381934 Kidz Medical Services, Inc Otolaryngology 14421 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4323 2017-01-06
1962499988 Stuart A Morgenstein Otolaryngology 15901 Bass Rd, Suite 108, Fort Myers, FL 33908-3838 2005-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508002072 Pediatric Ent, LLC Otolaryngology 1499 S Harbor City Blvd Ste 303, Melbourne, FL 32901-3245 2009-01-05
1285888396 Yamilet Tirado Otolaryngology 3100 S.w. 62nd Avenue, Suite 124, Miami, FL 33155 2008-11-17
1295928380 Aiysha C Balbosa Otolaryngology 5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 2007-08-22
1801002100 Kyle Leslie Bressler Otolaryngology 6754 Stonegate Dr, Naples, FL 34109-7224 2007-05-15
1114011707 Karin Swisher Hotchkiss Otolaryngology 5105 N Armenia Ave, Tampa, FL 33603-1405 2006-10-03
1568554400 Scott Brietzke Otolaryngology 1131 N 35th Ave Ste 300, Hollywood, FL 33021 2006-09-29
1669573028 Kathleen M Wasylik Otolaryngology 601 5th St. South, #701, St Petersburg, FL 33701 2006-09-26
1801902739 Saswata Roy Otolaryngology 11705 San Jose Blvd, Ste 103, Jacksonville, FL 32223-1835 2006-08-22
1275588303 Daniel L Wohl Otolaryngology 4114 Sunbeam Rd, Suite 403, Jacksonville, FL 32257-8847 2006-05-24
1487628251 David L Mandell Otolaryngology 10150 Hagen Ranch Road, Suite 100, Boynton Beach, FL 33437 2006-02-16
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City FORT MYERS
Zip Code 33908

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Dataset Information

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.

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