NPIMap

Organization Active NPI

WM Darrell Gaskins LLC

Doing business as Naples Premier Surgery Center

  • Ophthalmology Physician
  • Naples, FL
National Provider Identifier
1457400327
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
FLME0043376 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 9, 2007
Last updated
Aug 22, 2019By the provider in NPPES
Organization subpart
No

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, M.D.NPI 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
Ophthalmology Physician 207W00000X FLME0043376 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 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
O20031218000134 FL Part B Supplier - Clinic/Group Practice 5092612994 Receives reassigned benefits from 10 practitioners
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).

National Provider Directory

National Provider Directory

Locations

2335 Tamiami Trl N
Ste 304
Naples, FL 34103
Phone (239) 263-7750

Ownership & related parties

Subparts reporting this organization as parent 1

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

Practitioners & affiliated clinicians

Practitioners 10

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1457400327",
    "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": "NO",
        "enumeration_date": "2007-01-09",
        "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": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "FLME0043376",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.