IRINA F GERSHIN-STEVENS (NPI# 1629094735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629094735 |
Entity Type | Individual |
Full Name | IRINA F GERSHIN-STEVENS |
Credential | DO |
Practice Address |
15901 Bass Rd Ste 102 Fort Myers FL 33908-3838 |
Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
Practice Telephone | 2393439890 |
Practice Fax Number | 2393439898 |
Mailing Telephone | 2393439890 |
Mailing Fax Number | 2393439898 |
Enumeration Date | 2006-07-14 |
Last Update Date | 2020-09-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
OS10700 | FL | Allopathic & Osteopathic Physicians |
N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
225785 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 001529200 | 05 | |
NY | 02798516 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
16261 Bass Rd Ste 100, Fort Myers, FL 339083671 | 2393439890 | 2393439898 |
Street Address |
15901 BASS RD STE 102 |
City | FORT MYERS |
State | FL |
Zip Code | 33908-3838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174904734 | Aslam Hyder Qureshi | Pediatrics | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2015-06-09 |
1356784177 | Viola Elisabeth Batdorf | Nurse Practitioner | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2013-04-11 |
1154671600 | Laurie P. Milliner | Clinical Nurse Specialist | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2012-09-12 |
1093081986 | Patricia Carolina Subnaik | Pediatrics | 15901 Bass Rd Ste 102, Fort Myers, FL 33908 | 2012-03-26 |
1912295841 | Archana Ramaswami | Pediatrics | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2011-07-12 |
1023278645 | Cayce Jehaimi | Pediatrics | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2008-06-17 |
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 |
Find all providers in zip 33908 |
Taxonomy Code | 2080P0210X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Nephrology |
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174904734 | Aslam Hyder Qureshi | Pediatrics | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2015-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114301736 | Harold Marder | Pediatrics | 14030 Old Cypress Bnd, Palm Beach Gardens, FL 33410-1121 | 2015-07-14 |
1366715799 | Frank William Ayestaran Cassani | Pediatrics | 17 Davis Blvd Ste 200, Tampa, FL 33606-3438 | 2012-02-15 |
1356655187 | Omer Mansoor | Pediatrics | 5325 Greenwood Ave Ste 204, West Palm Beach, FL 33407-2452 | 2010-08-04 |
1174848378 | Jessica M Rodriguez | Pediatrics | 13101 Bruce B Dwn Blvd # 105, Tampa, FL 33612-3803 | 2010-03-30 |
1376552760 | Felix I. Ramirez-seijas | Pediatrics | 3200 Sw 60th Ct Ste 304, Miami, FL 33155-4071 | 2006-08-05 |
1225060908 | Larry T Patterson | Pediatrics | 1600 Sw Archer Rd # 100296, Gainesville, FL 32610 | 2006-07-06 |
1215965595 | Robert S. Mathias | Pediatrics | 1717 S. Orange Ave., Suite 100, Orlando, FL 32806-2946 | 2006-06-28 |
1437197373 | Reem Hussni Raafat | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021 | 2006-06-03 |
1285671628 | Ivy Boydstun | Pediatrics | 1131 N 35th Ave Fl 2, Hollywood, FL 33021 | 2006-06-02 |
1922055615 | Ana L Paredes | Pediatrics | 6200 Sunset Dr Ste 303, South Miami, FL 33143-4829 | 2006-05-28 |
Find all providers with the same taxonomy |
City | FORT MYERS |
Zip Code | 33908 |
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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.