| Gastroenterology Group Of Naples Pa | |
|
1064 Goodlette Rd N Naples FL 34102-5449 | |
| (239) 649-1186 | |
| (239) 649-1156 |
| Full Name | Gastroenterology Group Of Naples Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1064 Goodlette Rd N, Naples, Florida |
| Authorized Official Name and Position | Susan M Liberski (PRESIDENT) |
| Authorized Official Contact | 2396491186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Group Of Naples Pa 1064 Goodlette Rd N Naples FL 34102-5449 Ph: (239) 649-1186 | Gastroenterology Group Of Naples Pa 1064 Goodlette Rd N Naples FL 34102-5449 Ph: (239) 649-1186 |
| NPI Number | 1912954694 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 07/16/2014 |
| Medicare PECOS PAC ID | 4789646209 |
|---|---|
| Medicare Enrollment ID | O20041027001179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912954694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Sandra Maritza Jara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003905605 PECOS PAC ID: 1456419605 Enrollment ID: I20081017000074 |
| Provider Name | Raymond W Phillips |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437155231 PECOS PAC ID: 8224090741 Enrollment ID: I20120214000398 |
| Provider Name | Gustavo D Rivera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154573830 PECOS PAC ID: 4880818327 Enrollment ID: I20140624000881 |
| Provider Name | Rafael A Urbina-velez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902119845 PECOS PAC ID: 0840585675 Enrollment ID: I20160818000866 |
| Provider Name | Vincent Mclaughlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841288321 PECOS PAC ID: 4587619820 Enrollment ID: I20211023000042 |
| Provider Name | Lindsey N Clark |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295978500 PECOS PAC ID: 4486898632 Enrollment ID: I20211027003384 |
| Provider Name | Katie Veltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114623311 PECOS PAC ID: 6204201593 Enrollment ID: I20230419002156 |
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