Gulfcoast Foot and Ankle Associates LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO0002638 Issued in FL

Legal business name

GULFCOAST FOOT AND ANKLE ASSOCIATES LLC

Practice address

6101 Pine Ridge Rd
3Rd Floor
Naples, FL 34119-3900

Phone

(239) 566-8800

Fax

(239) 566-8800

NPI assigned

Dec 2, 2016

Organization subpart

No

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

Authorized official

Name

Mickey Edson Gordon, DPMNPI 1689644882

Title

Owner

Phone

(239) 566-8800

Specialties & licenses 1

Addresses

Practitioners 1

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

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1285177642",
    "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": "239-566-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "address_2": "3RD FLOOR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-566-8800",
            "fax_number": "239-566-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST FOOT AND ANKLE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "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_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0002638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Shore Apothecary LLC (Gulf Shore Apothecary)
• Gulf Shore RX LLC (Gulf Shore Apothecary)
• Gulf View General Surgery LLC
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulfcoast Foot & Ankle Center, Inc.
• Gulfcoast Foot and Ankle Center
• Gulfcoast Foot and Ankle Specialists
• Gulfcoast Orthopaedic Specialists
• Gulfcoast Pelvic Health and Wellness Center
• Gulfshore Anesthesia Services LLC

• Foot & Ankle Surgery Podiatrist in Naples, FL
• Providers in Naples, 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 Dec 2, 2016; 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.