DR. GAURAV MATHUR (NPI# 1043524176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043524176 |
| Entity Type | Individual |
| Full Name | DR. GAURAV MATHUR |
| Credential | MD |
| Practice Address |
12083 Cortez Blvd Brooksville FL 34613-7350 |
| Mailing Address |
14690 Spring Hill Dr Ste 305 Spring Hill FL 34609-8102 |
| Practice Telephone | 3525964022 |
| Practice Fax Number | 3525969851 |
| Mailing Telephone | 3522775348 |
| Mailing Fax Number | 3522775348 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD444064 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME121449 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 013916600 | 05 | |
| FL | BCBS | 14YM0 | 01 |
| FL | RR MCR | P01483698 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588152367 | Gaurav Narayan Mathur | Internal Medicine | 2351 E 22nd St Ste 338w, Cleveland, OH 44115-3197 | 2018-04-26 |
| 1487731154 | Gaurav Mathur | Family Medicine | 350 Hawthorne Ave, Room 2346, Oakland, CA 94609-3108 | 2006-11-01 |
| Street Address |
12083 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-7350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609467 | Mahmoud Abdelfattah Nimer | Internal Medicine | 12083 Cortez Blvd, Brooksville, FL 34613-7350 | 2005-06-20 |
| 1194006072 | Laura Lynn Koach | Nurse Practitioner | 12083 Cortez Blvd, Brooksville, FL 34613-7350 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1346276631 | Lingappa Amarchand | Internal Medicine | 750 Desoto Ave, Brooksville, FL 34601-2814 | 2006-06-25 |
| 1114925989 | Scott Frank Lee | Internal Medicine | 11373 Cortez Blvd Ste 301, Brooksville, FL 34613-5411 | 2005-07-14 |
| 1528589025 | Mitchell S Halperin M.d., P.a. | Internal Medicine | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2017-07-05 |
| 1144592007 | Abdelnasser Elmansoury Md Pa | Internal Medicine | 17222 Hospital Blvd, Suite 238, Brooksville, FL 34601-8925 | 2012-02-07 |
| 1316180409 | Good Shepherd Medical Clinic Pa | Internal Medicine | 11373 Cortez Blvd, Suite 209, Brooksville, FL 34613-5414 | 2009-04-20 |
| 1861660029 | V P Jeyabarath Md Pa | Internal Medicine | 17222 Hospital Blvd, Ste 116, Brooksville, FL 34601-8925 | 2008-02-11 |
| 1124215249 | Mowaffak Atfeh | Internal Medicine | 11373 Cortez Blvd, Suite 307, Brooksville, FL 34613-5414 | 2007-10-02 |
| 1225224686 | A M Eldin Md Pa | Internal Medicine | 12082 Cortez Blvd, Brooksville, FL 34613-7371 | 2007-09-19 |
| 1467586065 | Mowaffak Atfeh Md Pa | Internal Medicine | 11373 Cortez Blvd, Suite 307, Brooksville, FL 34613 | 2007-03-15 |
| 1538262332 | Oakhill Heart Associates | Internal Medicine | 11373 Cortez Blvd, Ste 200, Brooksville, FL 34613-5414 | 2006-09-07 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
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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.