Individual provider Active NPI

Remo G. Gaudiel, M.D.

  • Surgery Physician
  • Venice, FL
National Provider Identifier
1609952282
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME34599 Issued in FL
Practice address
329 Nokomis Ave S
Venice, FL 34285-2418
Phone
(941) 484-9538
Fax
(941) 484-1907
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME34599 FL Primary

Addresses

Primary practice location

329 Nokomis Ave S
Venice, FL 34285-2418

Mailing address

329 Nokomis Ave S
Venice, FL 34285-2418
Phone (941) 484-9538

Other identifiers 1

IdentifierTypeStateIssuer
044090600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000335 FL Practitioner - General Surgery 2860521903 Practice locations: Englewood, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME34599FLMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609952282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852418",
            "telephone_number": "941-484-9538",
            "fax_number": "941-484-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852418",
            "telephone_number": "941-484-9538",
            "fax_number": "941-484-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDIEL",
        "first_name": "REMO",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME34599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044090600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.