Gulfcoast Foot and Ankle Specialists LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

GULFCOAST FOOT AND ANKLE SPECIALISTS LLC

Practice address

24231 Walden Center Dr Ste 120
Estero, FL 34134-5011

Phone

(239) 949-3399

Fax

(239) 949-6553

NPI assigned

Dec 21, 2016

Last updated

Apr 9, 2024By 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

April Mavrogeorge

Title

Practice Manager

Phone

(239) 566-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Brooke Austin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1003109604
  Medicare reassignment Care Compare group NPD
• Gregory Alan Mazur, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1083901367
  Medicare reassignment Care Compare group NPD
• Stephanie Danielle Van Heerden, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1437598596

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1033654413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110759",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080113",
            "telephone_number": "239-566-8800",
            "fax_number": "239-665-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24231 WALDEN CENTER DR STE 120",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341345011",
            "telephone_number": "239-949-3399",
            "fax_number": "239-949-6553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9915 Tamiami Trl N Ste 1",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "34108",
            "country_code": "US",
            "telephone_number": "239-566-8800",
            "fax_number": "239-566-8778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GULFCOAST FOOT AND ANKLE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "MAVROGEORGE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "239-566-8800"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Carolyn Grogg, FNP
• Edward Eugene Grubbs Jr., BC-HIS
• Joanna Gualtieri, LMHC
• Gulf Coast Brain and Spine Center
• Gulf Coast Medical Associates LLC
• Gulfshore Pediatric Dentistry, P.a.
• Christina M Gunger, MPT
• Katherine Gutierrez, LMHC
• H&H Neyra LLC
• Alesandra Taiwo Haastrup

• Foot & Ankle Surgery Podiatrist in Estero, FL
• Providers in Estero, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.