Gretchen Sue Pai, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME96888 Issued in FL

Practice address

2852 Tamiami TRL
Suite 6
Port Charlotte, FL 33952-5125

Phone

(941) 743-4445

Fax

(941) 743-4287

NPI assigned

Sep 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carlton R. Vollberg M D P a

  • Family Medicine Physician
  • Port Charlotte, FL
  • NPI 1003124322
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1265628101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 TAMIAMI TRL",
            "address_2": "SUITE 6",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525125",
            "telephone_number": "941-743-4445",
            "fax_number": "941-743-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 TAMIAMI TRL",
            "address_2": "SUITE 6",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525125",
            "telephone_number": "941-743-4445",
            "fax_number": "941-743-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAI",
        "first_name": "GRETCHEN",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenee R Owens, SLP
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• Natalie Padilla Garcia, APRN
• Yuleinee Padron, APRN
• Paige Kreegel MD PA
• Pain Management Associates of SWF
• Philip Blanchard Paine, M.D.
• Timothy Palmer, DDS
• Yarima Regla Palmero Castellanos, PMHNP-BC

• Family Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.