Individual provider Active NPI

Lyle Howard Gumer, DO

  • Family Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1447247168
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S3791 Issued in FL
Practice address
401 Miracle Mile
Suite 201
Coral Gables, FL 33134-4930
Phone
(305) 446-8423
Fax
(305) 446-0262
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0S3791 FL Primary

Addresses

Primary practice location

401 Miracle Mile
Suite 201
Coral Gables, FL 33134-4930

Mailing address

401 Miracle Mile
Suite 201
Coral Gables, FL 33134-4930
Phone (305) 446-8423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0S3791FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lyle H Gumer DO Family Medicine PastSince Mar 30, 1978 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1447247168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MIRACLE MILE",
            "address_2": "SUITE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344930",
            "telephone_number": "305-446-8423",
            "fax_number": "305-446-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MIRACLE MILE",
            "address_2": "SUITE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344930",
            "telephone_number": "305-446-8423",
            "fax_number": "305-446-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMER",
        "first_name": "LYLE",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0S3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.