Mark E Gonwa MD PLLC Team Radiology

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME64311 Issued in FL

Legal business name

MARK E GONWA MD PLLC TEAM RADIOLOGY

Practice address

2500 Harbor Blvd
Port Charlotte, FL 33952-5000

Phone

(941) 766-4382

NPI assigned

Mar 3, 2008

Last updated

Aug 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark E Gonwa, MD

Title

President

Phone

(516) 625-8584

Specialties & licenses 1

Addresses

Locations

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.

• Richard Anthony Amato, M.D.

  • Diagnostic Radiology Physician
  • Boardman, OH
  • NPI 1366423840
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1497925895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 PGA BLVD",
            "address_2": "SUITE 402",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106539",
            "telephone_number": "516-625-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-766-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E GONWA MD PLLC TEAM RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "GONWA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-625-8584",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME64311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc a. Melser, MD, PL
• Glenn J Marcus, D.O.
• Margaret G. Mayo, M.D. PA
• Nicole Marihart, PHARMD
• Mario E Carbonell MD PA
• Mark O. Asperilla M.D.P.a.
• Mark S. Tracy, D.P.M., P.a.
• Rayna Markle
• Luis Gerardo Marmol, M.D.
• Karen A. Marotte, LMT

• Diagnostic Radiology Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.