Individual provider Active NPI

Stuart Gottlieb, M.D.

  • Nuclear Cardiology Physician
  • Coral Gables, FL
National Provider Identifier
1487712006
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
ME 19871 Issued in FL
Practice address
180 Edgewater Dr
Coral Gables, FL 33133-6913
Phone
(305) 667-2809
Fax
(305) 661-3935
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X ME 19871 FL Primary

Addresses

Primary practice location

180 Edgewater Dr
Coral Gables, FL 33133-6913

Mailing address

180 Edgewater Dr
Coral Gables, FL 33133-6913
Phone (305) 667-2809

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 Medicine

State licenses

LicenseStateTypeSpecialty
ME 19871FLMDNuclear Cardiology Physician
19871FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Development Inc Nuclear Cardiology Past Accepting new patients
Stuart Gottlieb MD Chartered Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487712006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 EDGEWATER DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331336913",
            "telephone_number": "305-667-2809",
            "fax_number": "305-661-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 EDGEWATER DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331336913",
            "telephone_number": "305-667-2809",
            "fax_number": "305-661-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "FL",
            "license": "ME 19871",
            "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 Jul 8, 2007; 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.