DR. GORDON A PAGE JR. (NPI# 1154310761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154310761 |
| Entity Type | Individual |
| Full Name | DR. GORDON A PAGE JR. |
| Credential | M.D. |
| Practice Address |
888 N Robert Ave Arcadia FL 34266-9580 |
| Mailing Address |
Po Box 2177 Arcadia FL 34265-2177 |
| Practice Telephone | 8634948401 |
| Mailing Telephone | 8634943535 |
| Mailing Fax Number | 8364914328 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2010-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME97222 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | GP041179 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2771641 00 | 05 | |
| MI | 1729834 | 05 |
| Street Address |
888 N ROBERT AVE |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-9580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134599723 | Mcr Health, Inc. | Pediatrics | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2015-09-25 |
| 1578949038 | Mcr Health, Inc. | Family Medicine | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2015-08-07 |
| 1992023865 | Desoto County Hospital District | Clinic/Center | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2010-05-17 |
| 1538395488 | Kyle L Fairchild | Nurse Practitioner | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2009-06-05 |
| 1871737684 | Carey Rose | Physician Assistant | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2009-04-23 |
| 1124178975 | Mahendrakumar A Patel | Internal Medicine | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2007-01-12 |
| 1851459606 | Pedro Raul Villanueva | Pediatrics | 888 N Robert Ave, Arcadia, FL 34266-9580 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477191658 | Mcr Health, Inc. | Family Medicine | 1148 E Gibson St Bldg C, Arcadia, FL 34266-5011 | 2019-12-18 |
| 1518327535 | Raffi Kalinjian | Family Medicine | 450 E Huntington Dr Ste 200, Arcadia, CA 91006-3748 | 2016-03-03 |
| 1679997241 | Rssk, Plc | Family Medicine | 3268 Lake St, Arcadia, MI 49613 | 2014-02-18 |
| 1164761300 | Marianna Shakhnovits, Md Aprofessional Corporation | Family Medicine | 938 Paloma Drive, Arcadia, CA 91007 | 2013-02-07 |
| 1285924506 | Lakeshore Family Care, PC | Family Medicine | 3278 Lake St, Arcadia, MI 49613-5121 | 2011-04-08 |
| 1811226640 | Lakeview Family Medicine, LLC | Family Medicine | 204w Main St, Arcadia, IN 46030 | 2009-12-07 |
| 1063505667 | Glen E Leer | Family Medicine | 204 W. Main Street, Arcadia, IN 46030 | 2006-10-02 |
| 1689771842 | Daniel Lin | Family Medicine | 25 N Santa Anita Ave Ste B, Arcadia, CA 91006 | 2006-09-20 |
| 1912003542 | Joseph R Tafur | Family Medicine | 650 W. Duarte, Suite 100 A, Arcadia, CA 91007 | 2006-09-14 |
| 1073623252 | Joel Elmer Anhalt | Family Medicine | 3618 Glovers Lake Rd, Arcadia, MI 49613-9744 | 2006-08-30 |
| Find all providers in ARCADIA | ||||
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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.