Gulf Coast Gynecology, Inc.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME77139 Issued in FL

Legal business name

GULF COAST GYNECOLOGY, INC.

Practice address

4012 Commons Dr W
Suite 100
Destin, FL 32541-8422

Phone

(850) 837-0576

Fax

(850) 837-1051

NPI assigned

Aug 25, 2006

Last updated

Aug 22, 2020By 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

Debbie Thuy Nguyen

Title

Office Manager

Phone

(850) 837-0576

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Ann Thuy Nguyen, M.D.

  • Gynecology Physician
  • Destin, FL
  • NPI 1962518811
  Medicare reassignment Care Compare group NPD
• John Quang Nguyen, M.D.

  • Family Medicine Physician
  • Fort Walton Beach, FL
  • NPI 1942452255
  Medicare reassignment Care Compare group NPD
• Ted Chung, M.D.

  • Urology Physician
  • Destin, FL
  • NPI 1639148166
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285742817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325790936",
            "telephone_number": "850-837-0576",
            "fax_number": "850-837-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 COMMONS DR W",
            "address_2": "SUITE 100",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418422",
            "telephone_number": "850-837-0576",
            "fax_number": "850-837-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST GYNECOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "THUY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-837-0576"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME77139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49256",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xiomara Elena Gonzalez
• Delaney Graber
• Helena B Grandgenett, CRNA
• Guillot Enterprises, LLC (Audibel Hearing and Audiology Centers)
• Gulf Coast Addiction Treatment
• Kayln Renee Gunter, OTR/L
• Christina Hammond
• Amanda Jill Handley, CRNA
• Waithira Wanyee Hansen
• Avery Hanson, DPT

• Gynecology Physician in Destin, FL
• Providers in Destin, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.