DR. MICHAEL THADDEUS GMITRUK (NPI# 1992928931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992928931 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL THADDEUS GMITRUK |
| Credential | DDS |
| Practice Address |
3900 Clark Rd Bldg S Sarasota FL 34233-2380 |
| Practice Telephone | 9419221504 |
| Practice Fax Number | 9419222907 |
| Mailing Telephone | 9419221504 |
| Mailing Fax Number | 9419222907 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN0010502 | FL | Dental Providers |
| Street Address |
3900 CLARK RD BLDG S |
| City | SARASOTA |
| State | FL |
| Zip Code | 34233-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1376088757 | Cayley Miles | Behavioral Analyst | 5224 Station Way, Sarasota, FL 34233 | 2016-12-21 |
| 1386014660 | Sarah Ashley Somai | Pharmacist | 5804 Centergate Village, Sarasota, FL 34233 | 2015-09-30 |
| 1760864458 | Kristin Elizabeth Kemper | Chiropractor | 5560 Bee Ridge Rd Ste D7, Sarasota, FL 34233 | 2015-06-18 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1396179891 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 5432 Bee Ridge Rd Ste 170, Sarasota, FL 34233 | 2013-09-03 |
| 1093064180 | Robert Bateyko, Md Chartered | Internal Medicine | 5664 Bee Ridge Road, Suite #101, Sarasota, FL 34233 | 2012-09-05 |
| 1871855874 | Katharina Bayer-haase | Counselor | 4047 Bee Ridge Rd, Suite C, Sarasota, FL 34233 | 2012-06-14 |
| 1053686881 | Leigh Goodman | Occupational Therapist | 4073 Bee Ridge Rd., Sarasota, FL 34233 | 2012-03-13 |
| 1407155740 | Jay Steven Frye | Physical Therapist | 5432 Bee Ridge Rd Ste 110, Sarasota, FL 34233 | 2011-03-25 |
| Find all providers in zip 34233 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003085283 | Gregory Rutherford | Dentist | 1960 S Tuttle Ave, Sarasota, FL 34239-3114 | 2008-02-21 |
| 1235148859 | Keith Shipley Smith II | Dentist | 3212 Gulf Gate Dr, Sarasota, FL 34231-2404 | 2006-08-05 |
| 1659716058 | Howard M. Chasolen | Dentist | 2033 Wood St, Suite 125, Sarasota, FL 34237-7900 | 2013-04-30 |
| 1376827444 | Ginger Robin Chasolen | Dentist | 1215 S East Ave, Suite 202, Sarasota, FL 34239-2342 | 2011-10-06 |
| 1710273883 | Howard M. Chasolen, Dmd, Pa | Dentist | 2033 Wood St, Suite 125, Sarasota, FL 34237-7900 | 2011-06-27 |
| 1841495124 | Drs. Chasolen & Chasolen, P.a. | Dentist | 2033 Wood St, Suite 125, Sarasota, FL 34237-7900 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650540 | Zineb Mediouni Dmd Pa | Dentist | 14502 N Dale Mabry Hwy Ste 102, Tampa, FL 33618-2076 | 2020-08-19 |
| 1932728078 | Mohammad Reza Azari Samani | Dentist | 14453 Beach Blvd Ste 100, Jacksonville, FL 32250-2081 | 2020-04-09 |
| 1013562941 | Blanding Dental Associates P.a. | Dentist | 767 Blanding Blvd Ste 108, Orange Park, FL 32065-5788 | 2019-08-07 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1700365145 | Carlos Soucy Aranguren | Dentist | 1395 Center Dr Rm D9-39d, Gainesville, FL 32610-3006 | 2018-08-07 |
| 1790278448 | Marcela Cardona Echeverri | Dentist | 3872 San Simeon Cir, Weston, FL 33331-5056 | 2018-06-07 |
| 1942704499 | Ngoc Trang Caroline Truong | Dentist | 1395 Center Driveroom D1-19, Gainesville, FL 32610-0001 | 2018-03-20 |
| 1851812515 | Martin Sebastian Lalama | Dentist | 2441 Nw 43rd St Ste 16, Gainesville, FL 32606-6676 | 2017-07-03 |
| 1619497021 | Leila Ahmadian Khoshe Mehr | Dentist | 929 Falling Water Rd, Weston, FL 33326-3555 | 2017-06-27 |
| 1548611510 | Rocio Barocio Torano | Dentist | 2425 Brunello Trce, Lutz, FL 33558-7800 | 2016-06-30 |
| Find all providers with the same taxonomy | ||||
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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.