Active NPI
Paul W. Gonter, M.D.
- Medical Oncology Physician
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME85932
- Practice address
- 836 Sunset Lake Blvd
Suite 101
Venice, FL 34292-7554 - Phone
- (941) 408-0500
- Fax
- (941) 496-8558
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | ME85932 | FL | |
| Medical Oncology Physician | 207RX0202X | ME85932 | FL | Primary |
Addresses
Primary practice location
836 Sunset Lake Blvd
Suite 101
Venice, FL 34292-7554
Mailing address
PO Box 102222
Attn: Credential Department
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252556900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME85932 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Hematology | Current | Accepting new patients |
Locations
2301 60th Street Ct W
Bradenton, FL 34209
Phone (941) 795-3780
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400
5969 Cattleridge Blvd
Ste 102
Sarasota, FL 34232
Phone (941) 377-9993
1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780
836 Sunset Lake Blvd
Ste 101
Venice, FL 34292
Phone (941) 408-0500
901 Tamiami Trl S
Venice, FL 34285
Phone (941) 484-3531
Organizations & group practices 1
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.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
Hematology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1295726933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"address_2": "ATTN: CREDENTIAL DEPARTMENT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200",
"fax_number": "239-278-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 SUNSET LAKE BLVD",
"address_2": "SUITE 101",
"city": "VENICE",
"state": "FL",
"postal_code": "342927554",
"telephone_number": "941-408-0500",
"fax_number": "941-496-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONTER",
"first_name": "PAUL",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "FL",
"license": "ME85932",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME85932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252556900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.