JOSE GABRIEL LARA (NPI# 1942822879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942822879 |
| Entity Type | Individual |
| Full Name | JOSE GABRIEL LARA |
| Credential | AA-C |
| Practice Address |
9981 S Healthpark Dr Fort Myers FL 33908-3618 |
| Mailing Address |
7131 High Corner Rd Brooksville FL 34602-7492 |
| Practice Telephone | 2393435000 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356779607 | Jose Lara IIi | Massage Therapist | 436 E Bradstock Way, San Tan Valley, AZ 85140-5773 | 2013-10-24 |
| 1801935622 | Jose Milton Lara | Internal Medicine | 4670 Gage Ave, Bell, CA 90201-1360 | 2007-02-06 |
| 1669564563 | Jose Eduardo Lara | Dentist | 1651 E Orangethorpe Ave, Placentia, CA 92870-6629 | 2006-09-28 |
| 1134115058 | Jose V Lara | Dermatology | 1840 Greenwich Ave, Winter Park, FL 32789-4012 | 2005-09-26 |
| 1104824812 | Jose Lara | Chiropractor | 2735 W Union Hills Dr, Suite 102, Phoenix, AZ 85027-5033 | 2005-07-07 |
| 1376032102 | Jose Anselmo Lara Jr. | Emergency Medicine | 6701 Fannin St, Houston, TX 77030-2608 | 2018-05-07 |
| 1578883542 | Jose Felix Lara | Physical Therapist | 1900 Medical Pkwy, San Marcos, TX 78666-7520 | 2010-06-01 |
| Street Address |
9981 S HEALTHPARK DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689331 | Rajendra Sunita Sharma | Specialist | 9981 S Healthpark Dr, Suite 279, Fort Myers, FL 33908-3618 | 2005-06-20 |
| 1477153229 | Evalenee Marie Feutz | Student in an Organized Health Care Education/Training Program | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-10-30 |
| 1487263794 | Jena Morrison | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-07-23 |
| 1053929950 | Melissa Anne Swartz | Psychologist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-07-16 |
| 1891311916 | Elvira Ayupova | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-06-24 |
| 1861014557 | Vanessa Rivera | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3620 | 2020-05-15 |
| 1679193254 | Nicole Christine Brillembourg | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-23 |
| 1235759168 | Lisa Diana Bergh | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3620 | 2020-04-21 |
| 1679193601 | Jessica Robin Golda | Registered Nurse | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-20 |
| 1285263780 | Lee Memorial Health System | Pharmacy | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-06 |
| Find all providers in the same location | ||||
| 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 | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103927 | Jason Cotterill | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-17 |
| 1104476985 | Katelyn Van De Water | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-13 |
| 1013566264 | Felicia Taylor | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-09-10 |
| 1235788530 | Amanda Linzalone | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5855 | 2019-09-09 |
| 1316592694 | Scott Danek | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2019-08-05 |
| 1902364714 | Mark Anthony Eldridge | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901 | 2019-03-11 |
| 1417423310 | Joshua Keith Reeves | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5855 | 2018-10-17 |
| 1801370069 | Jihane Messoud | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2018-09-23 |
| 1700360294 | Jessica Elizabeth Maitland | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2018-09-20 |
| 1174007652 | Huy Nguyen | Anesthesiologist Assistant | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2018-09-20 |
| Find all providers in FORT MYERS | ||||
| 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.