Gastroenterology Associates Of Southwest Florida Llc | |
4790 Barkley Cir Building A Ft Myers FL 33907-7543 | |
(239) 275-8882 | |
(239) 275-6304 |
Full Name | Gastroenterology Associates Of Southwest Florida Llc |
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Speciality | Internal Medicine |
Location | 4790 Barkley Cir, Ft Myers, Florida |
Authorized Official Name and Position | Neekaytan Sharma (MEDICAL DIRECTOR) |
Authorized Official Contact | 2392758882 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gastroenterology Associates Of Southwest Florida Llc 4790 Barkley Cir Building A Ft Myers FL 33907-7543 Ph: (239) 275-8882 | Gastroenterology Associates Of Southwest Florida Llc 4790 Barkley Cir Building A Ft Myers FL 33907-7543 Ph: (239) 275-8882 |
NPI Number | 1154304087 |
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Provider Enumeration Date | 11/23/2005 |
Last Update Date | 10/28/2022 |
Medicare PECOS PAC ID | 8628960937 |
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Medicare Enrollment ID | O20040329001722 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154304087 | NPI | - | NPPES |
370377100 | Medicaid | FL | |
CL0683 | Other | FL | RAILROAD MEDICARE |
2400027 | Other | FL | GHI |
8720453 | Other | FL | AETNA |
39058 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
Provider Name | Sue A Day |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265404149 PECOS PAC ID: 5890693444 Enrollment ID: I20031222000191 |
Provider Name | Srinivas Raju |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1467435867 PECOS PAC ID: 7810980661 Enrollment ID: I20040406001809 |
Provider Name | Bradley W Trope |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1790788909 PECOS PAC ID: 8729024336 Enrollment ID: I20050706000173 |
Provider Name | Jaine E Milligan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689636235 PECOS PAC ID: 1951332519 Enrollment ID: I20050824000413 |
Provider Name | Margaret Mary O'connor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538202452 PECOS PAC ID: 1254436546 Enrollment ID: I20070416000135 |
Provider Name | Ramesh Koka |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1528185162 PECOS PAC ID: 7517055932 Enrollment ID: I20071119000630 |
Provider Name | Sandra Maritza Jara |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1003905605 PECOS PAC ID: 1456419605 Enrollment ID: I20081017000074 |
Provider Name | Brian Longendyke |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1811979511 PECOS PAC ID: 4587672498 Enrollment ID: I20100804000431 |
Provider Name | Michael Hugh Weiss |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1568445955 PECOS PAC ID: 5496763302 Enrollment ID: I20100804000507 |
Provider Name | Michael Bays |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1134101090 PECOS PAC ID: 5395753206 Enrollment ID: I20100804000767 |
Provider Name | Neekaytan Sharma |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1386627768 PECOS PAC ID: 5092707356 Enrollment ID: I20100812001003 |
Provider Name | Brian David Feiock |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1841272549 PECOS PAC ID: 3678581584 Enrollment ID: I20100816000698 |
Provider Name | Tal B Hazan |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1497967376 PECOS PAC ID: 1557416070 Enrollment ID: I20101021001294 |
Provider Name | Julian A Perez Barrios |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1134335375 PECOS PAC ID: 0941470884 Enrollment ID: I20110831000664 |
Provider Name | Raymond W Phillips |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1437155231 PECOS PAC ID: 8224090741 Enrollment ID: I20120214000398 |
Provider Name | Gustavo D Rivera |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1154573830 PECOS PAC ID: 4880818327 Enrollment ID: I20140624000881 |
Provider Name | Mercedes C Acosta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083016737 PECOS PAC ID: 9830413731 Enrollment ID: I20150126000619 |
Provider Name | Brian P Rajca |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1083876197 PECOS PAC ID: 2769616291 Enrollment ID: I20160419000005 |
Provider Name | Rafael A Urbina-velez |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1902119845 PECOS PAC ID: 0840585675 Enrollment ID: I20160818000866 |
Provider Name | Brian G Fritz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366890006 PECOS PAC ID: 3476848946 Enrollment ID: I20160823001196 |
Provider Name | Adam Wayne Medlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538517602 PECOS PAC ID: 4587950514 Enrollment ID: I20160831000597 |
Provider Name | Zachary Garner |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1558679449 PECOS PAC ID: 5991072449 Enrollment ID: I20170605000837 |
Provider Name | Christopher A Fernandez |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306109939 PECOS PAC ID: 9032422795 Enrollment ID: I20190722000956 |
Provider Name | Gouri Sreepati |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1972891000 PECOS PAC ID: 4284860107 Enrollment ID: I20200629000184 |
Provider Name | Paul Weissblatt |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1619274172 PECOS PAC ID: 2769758929 Enrollment ID: I20210401001345 |
Provider Name | Vincent Mclaughlin |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1841288321 PECOS PAC ID: 4587619820 Enrollment ID: I20211023000042 |
Provider Name | Brian Andrew Frank |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609238211 PECOS PAC ID: 4587044367 Enrollment ID: I20220711002454 |
Provider Name | Bhavin Patel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1154709814 PECOS PAC ID: 2668853193 Enrollment ID: I20220714004044 |
Provider Name | Weijian Zhu |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1134138530 PECOS PAC ID: 5799828414 Enrollment ID: I20220802000779 |
Provider Name | Jeremiah Watkins |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1447431275 PECOS PAC ID: 6608032792 Enrollment ID: I20230223001486 |
Provider Name | Katie Veltman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114623311 PECOS PAC ID: 6204201593 Enrollment ID: I20230419002156 |
Provider Name | Brando Cobanov |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1801049135 PECOS PAC ID: 7911021951 Enrollment ID: I20240409003955 |
Provider Name | Rayann Jaber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649040221 PECOS PAC ID: 9537601679 Enrollment ID: I20240605000633 |
Provider Name | Lori L Woodward |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1326336330 PECOS PAC ID: 4082884440 Enrollment ID: I20240607000889 |
Provider Name | Neha Varshney |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1225444300 PECOS PAC ID: 7618224858 Enrollment ID: I20240611004771 |
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