NPIMap

Organization Active NPI

Paul N Gotkin, DPM & David a Gubernick, DPM PA

Doing business as Treasure Coast Podiatry

  • Podiatrist
  • Okeechobee, FL
National Provider Identifier
1174977425
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PAUL N GOTKIN, DPM & DAVID A GUBERNICK, DPM PA
Doing business as
Treasure Coast Podiatry
Practice address
114 N Parrott Ave
Okeechobee, FL 34972-2918
Phone
(863) 484-8001
Fax
(772) 286-2405
NPI assigned
Apr 22, 2016
Last updated
Feb 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Dr. David A Gubernick, DPMNPI 1740266121
Title
Owner/Podiatrist
Phone
(772) 286-9912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

114 N Parrott Ave
Okeechobee, FL 34972-2918

Mailing address

2291 SE Federal Hwy
Stuart, FL 34994-4516
Phone (772) 286-9912

Other names 1

  • Treasure Coast Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429000858 FL Part B Supplier - Clinic/Group Practice 8820085905 Receives reassigned benefits from 5 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ft Pierce, FL; Stuart, FL; Port St Lucie, FL; Okeechobee, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Paul N Gotkin David a Gube5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1924 US Highway 441 N
#101
Okeechobee, FL 34972

1095 NW Saint Lucie West Blvd
Ste 222
Port St Lucie, FL 34986
Phone (772) 785-5580

2291 SE Federal Hwy
Stuart, FL 34994
Phone (772) 286-9912

2423 SE Federal Hwy
Stuart, FL 34994
Phone (772) 286-9912

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1174977425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944516",
            "telephone_number": "772-286-9912",
            "fax_number": "772-286-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722918",
            "telephone_number": "863-484-8001",
            "fax_number": "772-286-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL N GOTKIN, DPM & DAVID A GUBERNICK, DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "GUBERNICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PODIATRIST",
        "authorized_official_telephone_number": "772-286-9912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treasure Coast Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Treasure Coast Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.