Gulfcoast Foot and Ankle Center

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO0002638 Issued in FL

Legal business name

GULFCOAST FOOT AND ANKLE CENTER

Practice address

6101 Pine Ridge Rd
3Rd Floor
Naples, FL 34119-3900

Phone

(239) 304-5161

Fax

(239) 304-5193

NPI assigned

Dec 11, 2013

Last updated

Dec 11, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

GULFCOAST FOOT AND ANKLE CENTER, INCAs reported in NPPES

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

Authorized official

Name

Dr. Mickey Edson Gordon, DPMNPI 1689644882

Title

Owner

Phone

(239) 566-8800

Specialties & licenses 1

Addresses

Part of

Gulfcoast Foot Ankle Center Inc

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.

• Gulfcoast Foot & Ankle Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1285854448
  NPPES parent name

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.

• Mickey E. Gordon, DPM

  • Podiatrist
  • Naples, FL
  • NPI 1689644882
  Authorized official Same address or phone

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1487085833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9955 TAMIAMI TRL N",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081914",
            "telephone_number": "239-566-8800",
            "fax_number": "239-566-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "address_2": "3RD FLOOR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-304-5161",
            "fax_number": "239-304-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST FOOT AND ANKLE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GULFCOAST FOOT AND ANKLE CENTER, INC",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "EDSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-566-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO0002638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Shore RX LLC (Gulf Shore Apothecary)
• Gulf View General Surgery LLC
• Gulf-to-Bay Anesthesiology Associates LLC
• Gulfcoast Foot & Ankle Center, Inc.
• Gulfcoast Foot and Ankle Associates LLC
• Gulfcoast Foot and Ankle Specialists
• Gulfcoast Orthopaedic Specialists
• Gulfcoast Pelvic Health and Wellness Center
• Gulfshore Anesthesia Services LLC
• Gulfshore Endoscopy Center LLC

• Primary Podiatric Medicine Podiatrist in Naples, FL
• Providers in Naples, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.