Gulfcoast Ear Nose & Throat Associates PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME0052177 Issued in FL

Legal business name

GULFCOAST EAR NOSE & THROAT ASSOCIATES PA

Practice address

3007 Ridgeline Blvd
Suite a
Tarpon Springs, FL 34688-9103

Phone

(727) 942-4005

Fax

(727) 934-1773

NPI assigned

Oct 10, 2008

Last updated

Oct 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jose Alberto Berrios, M.D.NPI 1053377754

Title

President

Phone

(727) 942-4005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Alberto Berrios, M.D.

  • Otolaryngology Physician
  • Palm Harbor, FL
  • NPI 1053377754
  Medicare reassignment NPD Authorized official
• Dionne C. Murphy, AU.D.

  • Audiologist
  • Clearwater, FL
  • NPI 1245403393
  Medicare reassignment NPD
• James Williams Adkins, M.D.P.A.F.A.C.S.

  • Otolaryngology Physician
  • Palm Harbor, FL
  • NPI 1073545034
  NPD
• Angela R Evans Lacert, AUD

  • Audiologist
  • St Petersburg, FL
  • NPI 1508998766
  NPD (past)
• Julie Nicole Wiley, AU.D.

  • Audiologist
  • Tarpon Springs, FL
  • NPI 1790988731
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1013168822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 RIDGELINE BLVD",
            "address_2": "SUITE A",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346889103",
            "telephone_number": "727-942-4005",
            "fax_number": "727-934-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 RIDGELINE BLVD",
            "address_2": "SUITE A",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346889103",
            "telephone_number": "727-942-4005",
            "fax_number": "727-934-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST EAR NOSE & THROAT ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-942-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0052177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047382100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Grimm
• Larry D Gronland, CRNA
• Hanan Gruhonjic, MD
• Samuel Guirguis, D.O.
• Gulf Coast MRI LLC
• Ashmita Guragain
• Alton J Gustafson, DC
• Richard Gutierrez, CRNA
• Angy Habashy
• Alexis Nicole Hackworth

• Otolaryngology Physician in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.