Organization Active NPI

G-Nouva LLC

  • Obstetrics & Gynecology Physician
  • Doral, FL
National Provider Identifier
1316426877
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
G-NOUVA LLC
Practice address
2475 NW 95TH Ave
Doral, FL 33172-2337
Phone
(786) 453-2785
Fax
(786) 453-2787
NPI assigned
Aug 7, 2018
Last updated
Aug 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Elizabeth Gwinn
Title
Billing Specialist
Phone
(207) 491-4935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2475 NW 95TH Ave
Doral, FL 33172-2337

Mailing address

2475 NW 95TH Ave
Doral, FL 33172-2337
Phone (786) 453-2785

National Provider Directory

National Provider Directory

Locations

2475 NW 95th Ave
Doral, FL 33172
Phone (786) 453-2785

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1316426877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 NW 95TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722337",
            "telephone_number": "786-453-2785",
            "fax_number": "786-453-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 NW 95TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722337",
            "telephone_number": "786-453-2785",
            "fax_number": "786-453-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G-NOUVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "GWINN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "207-491-4935"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.