Organization Active NPI

F. Nicholas Gahhos MD PA

Doing business as Aesthetic Plastic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Venice, FL
National Provider Identifier
1619992518
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1016 Issued in FL
Legal business name
F. NICHOLAS GAHHOS MD PA
Doing business as
Aesthetic Plastic Surgery Center
Practice address
135 San Marco Dr
Venice, FL 34285
Phone
(941) 484-6836
Fax
(941) 484-9690
NPI assigned
Jul 12, 2006
Last updated
Nov 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
F Nicholas Gahhos, MD PANPI 1851316772
Title
Medical Director
Phone
(941) 484-6836

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
Ambulatory Surgical Clinic/Center 261QA1903X 1016 FL Primary

Addresses

Primary practice location

135 San Marco Dr
Venice, FL 34285

Mailing address

135 San Marco Dr
Venice, FL 34285-3231
Phone (941) 484-6836

Other identifiers 2

IdentifierTypeStateIssuer
490005250OtherRAILROAD MEDICARE
61POtherFLBC/BS

Other names 1

  • Aesthetic Plastic 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
O20120120000715 FL Part B Supplier - Ambulatory Surgical Center 7214100247 Practice locations: Venice, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Aesthetic Plastic Surgery CenterCCN 10C0001135
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Aesthetic Plastic Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

135 San Marco Dr
Venice, FL 34285
Phone (941) 484-6836

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1619992518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SAN MARCO DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853231",
            "telephone_number": "941-484-6836",
            "fax_number": "941-484-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SAN MARCO DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34285",
            "telephone_number": "941-484-6836",
            "fax_number": "941-484-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. NICHOLAS GAHHOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "GAHHOS",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-484-6836",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "61P",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.