Gulfcoast Foot & Ankle Center, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO0002638 Issued in FL

Legal business name

GULFCOAST FOOT & ANKLE CENTER, INC.

Practice address

11181 Health Park Boulevard
Suite #1180
Naples, FL 34110-5738

Phone

(239) 566-8800

Fax

(239) 566-8778

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mickey Edson Gordon, D.P.M.

Title

Owner/President

Phone

(239) 566-8800

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gulfcoast Foot and Ankle Center

  • Primary Podiatric Medicine Podiatrist
  • Bonita Springs, FL
  • NPI 1194156158
  NPPES parent name
• Gulfcoast Foot and Ankle Center

  • Primary Podiatric Medicine Podiatrist
  • Naples, FL
  • NPI 1487085833
  NPPES parent name

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1285854448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. 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": "11181 HEALTH PARK BOULEVARD",
            "address_2": "SUITE #1180",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105738",
            "telephone_number": "239-566-8800",
            "fax_number": "239-566-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST FOOT & ANKLE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "EDSON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "239-566-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0002638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1093729592",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285854448",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1689644882",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Hearing Aid Center
• Gulf Shore Apothecary LLC
• Gulf Shore RX LLC
• Gulf View General Surgery LLC
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulfcoast Foot and Ankle Associates LLC
• Gulfcoast Foot and Ankle Center
• Gulfcoast Foot and Ankle Specialists
• Gulfcoast Orthopaedic Specialists
• Gulfcoast Pelvic Health and Wellness Center

• 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 Aug 4, 2015; 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.