GULF COAST HMA PHYSICIAN MANAGEMENT LLC (NPI# 1033417472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033417472 |
| Entity Type | Organization |
| Organization Name | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Other Organization Name | WEIGHT MANAGEMENT CENTER |
| Practice Address |
1700 E Venice Ave Venice FL 34292-3190 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 9414839761 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395523637 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Weight Management Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770879363 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 1000 Aston Gardens Dr, Venice, FL 34292-3078 | 2011-06-22 |
| 1699072934 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 250 W Dearborn St, Englewood, FL 34223-3245 | 2011-02-23 |
| 1407806094 | Gulf Coast Hma Physician Management LLC | Family Medicine | 1101 Tamiami Trl S, Suite 101, Venice, FL 34285-4133 | 2006-05-12 |
| 1558745463 | Gulf Coast Hma Physician Management LLC | Dietitian, Registered | 1370 E Venice Ave, Ste 205, Venice, FL 34285-9082 | 2015-07-10 |
| 1932470648 | Gulf Coast Hma Physician Management LLC | Podiatrist | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2012-01-26 |
| 1255625067 | Gulf Coast Hma Physician Management LLC | Pain Medicine | 417 Commercial Ct, Suite A6, Venice, FL 34292-1655 | 2011-06-09 |
| 1861790206 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1720 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1770881112 | Gulf Coast Hma Physician Management LLC | Clinical Medical Laboratory | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1851699292 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 333 Miami Ave W, Venice, FL 34285-2361 | 2011-03-09 |
| 1760780100 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 333 Tamiami Trl S, Suite 101, Venice, FL 34285-2402 | 2011-03-09 |
| Street Address |
1700 E VENICE AVE |
| City | VENICE |
| State | FL |
| Zip Code | 34292-3190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921531 | Anthony G. Lyon | Family Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2005-09-01 |
| 1770881112 | Gulf Coast Hma Physician Management LLC | Clinical Medical Laboratory | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1134427578 | Gulf Coast Hma Physician Management LLC | Clinic/Center | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1497053839 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1164430591 | Lyle William Grenz | Chiropractor | 1700 E Venice Ave, Venice, FL 34292-3190 | 2006-08-03 |
| 1194747063 | Mario J Depinto | Family Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2006-07-23 |
| 1265428973 | Travis L Prachar | Nurse Practitioner | 1700 E Venice Ave, Venice, FL 34292-3190 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881585 | Raymond Lachlan Steele | Internal Medicine | 842 Sunset Lake Blvd Ste 401, Venice, FL 34292-7553 | 2017-03-07 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1407090921 | John Melecito Baga | Internal Medicine | 1720 E Venice Ave, Venice, FL 34292-3190 | 2009-04-28 |
| 1376795401 | Venetian Hospitalist Services | Internal Medicine | 535 Us Hwy 41 Bypass N, Ste 239, Venice, FL 34292-0000 | 2008-10-21 |
| 1295946804 | Robert Joel Heller | Internal Medicine | 1126 Rose Ave, Venice, CA 90291-2835 | 2007-05-24 |
| 1184783615 | Todd Feinman | Internal Medicine | 1532 Penmar Ave, Venice, CA 90291-2936 | 2006-12-08 |
| 1437255916 | Eric Lough | Internal Medicine | 329 Nokomis Ave S Ste F, Venice, FL 34285-2418 | 2006-09-15 |
| 1750494555 | Rosaura E Baez | Internal Medicine | 4125 S Tamiami Trl Ste 2, Venice, FL 34293-5121 | 2006-08-16 |
| 1154333581 | Guillermo Marcos Oynick Yaschin | Internal Medicine | 1287 Us Highway 41bypass S, Venice, FL 34285-5545 | 2006-08-13 |
| 1306860382 | Robert R Lastomirsky | Internal Medicine | 740 The Rialto, Venice, FL 34285-3524 | 2006-07-26 |
| Find all providers in VENICE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.