Organization Active NPI

F Nicholas Gahhos MD PA

Doing business as F. Nicholas Gahhos MD

  • Plastic and Reconstructive Surgery Physician
  • Venice, FL
National Provider Identifier
1689950727
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME44686 Issued in FL
Legal business name
F NICHOLAS GAHHOS MD PA
Doing business as
F. Nicholas Gahhos MD
Practice address
135 San Marco Dr
Venice, FL 34285-3231
Phone
(941) 484-6836
Fax
(941) 484-9690
NPI assigned
Nov 2, 2011
Last updated
Nov 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
F Nicholas Gahhos, MDNPI 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
Plastic and Reconstructive Surgery Physician 2086S0122X ME44686 FL Primary

Addresses

Primary practice location

135 San Marco Dr
Venice, FL 34285-3231

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1851316772OtherFLF. NICHOLAS GAHHOS, M.D./INDIVIDUAL NPI

Other names 1

  • F. Nicholas Gahhos MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111107000771 FL Part B Supplier - Clinic/Group Practice 7214100247 Receives reassigned benefits from 1 practitioner
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).

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": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1689950727",
    "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": "342853231",
            "telephone_number": "941-484-6836",
            "fax_number": "941-484-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F NICHOLAS GAHHOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2012-11-29",
        "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"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME44686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "F. NICHOLAS GAHHOS, M.D./INDIVIDUAL NPI",
            "identifier": "1851316772",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F. Nicholas Gahhos MD",
            "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 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.