NPIMap

Organization Active NPI

WM Darrell Gaskins LLC

Doing business as Naples Premier Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
National Provider Identifier
1386792588
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
997 Issued in FL
Legal business name
WM DARRELL GASKINS LLC
Doing business as
Naples Premier Surgery Center
Practice address
2335 9TH St N Ste 304
Naples, FL 34103-4457
Phone
(239) 263-7750
Fax
(239) 263-1754
NPI assigned
Jan 7, 2007
Last updated
Aug 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
WM DARRELL GASKINS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Dr. Lani Phuong Vu, MDNPI 1386669877
Title
Administrator
Phone
(239) 262-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 997 FL Primary

Addresses

Primary practice location

2335 9TH St N Ste 304
Naples, FL 34103-4457

Mailing address

2335 9TH St N Ste 304
Naples, FL 34103-4457
Phone (239) 263-7750

Other identifiers 5

IdentifierTypeStateIssuer
69GOtherFLBLUE CROSS BLUE SHIELD FL
3250454OtherFLAETNA
7681241001OtherFLCIGNA
079218700MedicaidFL
490000959OtherFLRAILROAD RETIRE. MEDICARE

Other names 1

  • Naples Premier Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000438 FL Part B Supplier - Ambulatory Surgical Center 5092612994 Practice locations: Naples, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
WM Darrell Gaskins LLC Dba Gaskins Eye Care and Surgery CenterCCN 10C0001044
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
WM Darrell Gaskins MD LLC

Locations

2335 9th St N
#6000
Naples, FL 34103

2335 Tamiami Trl N
Naples, FL 34103
Phone (239) 263-7750

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1386792588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 9TH ST N STE 304",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034457",
            "telephone_number": "239-263-7750",
            "fax_number": "239-263-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 9TH ST N STE 304",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034457",
            "telephone_number": "239-263-7750",
            "fax_number": "239-263-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM DARRELL GASKINS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WM DARRELL GASKINS LLC",
        "enumeration_date": "2007-01-07",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "LANI",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-262-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "69G",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3250454",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7681241001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079218700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIRE. MEDICARE",
            "identifier": "490000959",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naples Premier Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.