Gulfcoast Foot and Ankle Center

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO0002638 Issued in FL

Legal business name

GULFCOAST FOOT AND ANKLE CENTER

Practice address

3501 Health Center Blvd
Suite 2150
Bonita Springs, FL 34135-8127

Phone

(239) 949-3399

Fax

(239) 949-6553

NPI assigned

Dec 2, 2013

Last updated

Dec 2, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

GULFCOAST FOOT AND ANKLE CENTER, INC.As reported in NPPES

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

Authorized official

Name

Dr. Mickey Edson Gordon, DPNNPI 1689644882

Title

Owner

Phone

(239) 566-8800

Specialties & licenses 1

Addresses

Part of

Gulfcoast Foot and Ankle Center

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gulfcoast Foot & Ankle Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1285854448
  NPPES parent name

Practitioners 2

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.

• Mickey E. Gordon, DPM

  • Podiatrist
  • Naples, FL
  • NPI 1689644882
  Authorized official Same address or phone
• Gregory Alan Mazur, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1083901367
  NPD (past)

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1194156158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 TAMIAMI TRL N",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081914",
            "telephone_number": "239-566-8800",
            "fax_number": "239-566-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "address_2": "SUITE 2150",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358127",
            "telephone_number": "239-949-3399",
            "fax_number": "239-949-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST FOOT AND ANKLE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GULFCOAST FOOT AND ANKLE CENTER, INC.",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "EDSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-566-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPN"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO0002638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Orthotics Care, LLC
• Adam Paul Guiliano, D.P.T.
• Guillermo Narvarte Inc
• Guillot Enterprises LLC (Audibel Hearing and Audiology Centers)
• Gulf Coast Certified Primary Care PA
• Gulfshore Urology LLC
• Gulfside Chiropractic Health Center
• David Martin Gulotte, DMD
• Alberto Gutierrez Lopez, ARNP
• Lorena Gutierrez

• Primary Podiatric Medicine Podiatrist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.