Organization Active NPI

George a Gamouras MD PA

  • Interventional Cardiology Physician
  • Naples, FL
National Provider Identifier
1699730796
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
GEORGE A GAMOURAS MD PA
Practice address
6376 Pine Ridge Rd Ste 380
Naples, FL 34119-3905
Phone
(239) 304-9720
Fax
(239) 304-9609
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Dr. George A Gamouras, M.D.NPI 1508833757
Title
Owner
Phone
(239) 304-9720

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
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

6376 Pine Ridge Rd Ste 380
Naples, FL 34119-3905

Mailing address

6376 Pine Ridge Rd Ste 380
Naples, FL 34119-3905
Phone (239) 304-9720

Other identifiers 1

IdentifierTypeStateIssuer
DG2214OtherFLRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000624 FL Part B Supplier - Clinic/Group Practice 2163521683 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

6376 Pine Ridge Rd
Ste 380
Naples, FL 34119
Phone (239) 304-9720

700 2nd Ave N
Ste 303
Naples, FL 34102
Phone (239) 263-2250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1699730796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD STE 380",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193905",
            "telephone_number": "239-304-9720",
            "fax_number": "239-304-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD STE 380",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193905",
            "telephone_number": "239-304-9720",
            "fax_number": "239-304-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A GAMOURAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "GAMOURAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-304-9720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG2214",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.