GARY DUANE BARTLETT (NPI# 1174660823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174660823 |
| Entity Type | Individual |
| Full Name | GARY DUANE BARTLETT |
| Credential | PA |
| Practice Address |
2400 S Mccall Rd Ste C Englewood FL 34224-5137 |
| Mailing Address |
3434 Hancock Bridge Pkwy Ste 301 N Fort Myers FL 33903-7094 |
| Practice Telephone | 9414749314 |
| Practice Fax Number | 9414739813 |
| Mailing Telephone | 8778563774 |
| Mailing Fax Number | 2395992625 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2579 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2400 S MCCALL RD STE C |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34224-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728253 | Sandi Gladstone | Nurse Practitioner | 2400 S Mccall Rd, Englewood, FL 34224-5137 | 2005-05-23 |
| 1649725508 | Allison West | Nurse Practitioner | 2400 S Mccall Rd, Suite C, Englewood, FL 34224-5137 | 2016-08-22 |
| 1649425554 | Carol S Byrum | Massage Therapist | 2400 S Mccall Rd, Ste C, Englewood, FL 34224-5137 | 2008-11-19 |
| 1922295641 | Retina and Macula Consultants Pa | Ophthalmology | 2400 S Mccall Rd, Suite A, Englewood, FL 34224-5137 | 2007-09-26 |
| 1659419992 | Julian R Gershon | General Practice | 2400 S Mccall Rd, Suite C, Englewood, FL 34224-5137 | 2007-02-01 |
| 1750305561 | Ramon Deleon | Internal Medicine | 2400 S Mccall Rd, Ste B, Englewood, FL 34224-5137 | 2006-07-26 |
| 1871572164 | Charles M Gremillion Jr. | Ophthalmology | 2400 S Mccall Rd, Suite A, Englewood, FL 34224-5137 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609373471 | Tammy A Usher | Counselor | 7069 Peacock Ln, Englewood, FL 34224 | 2018-04-09 |
| 1265935720 | Philip Harold Case | Technician, Other | 8591 Lakeside Dr., Englewood, FL 34224 | 2018-03-12 |
| 1851453278 | Herbert Tommy Lane | Podiatrist | 2400 South Mccall Rd, Suite F, Englewood, FL 34224 | 2006-12-14 |
| 1518521327 | Ashley Nicole Schmittendorf | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224 | 2019-04-26 |
| 1336625110 | Monica Sosa | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224 | 2018-07-16 |
| 1811164288 | Bybiana Obrar Tagle | Physical Therapist | 1820 Meadowlark Ln, Englewood, FL 34224 | 2008-05-14 |
| 1114044831 | Beacon Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 2828 S Mccall Rd, Suite 26, Englewood, FL 34224 | 2007-03-26 |
| 1508925918 | Fashions for Health | Prosthetic/Orthotic Supplier | 2828 S Mccall Rd, Ste 26, Englewood, FL 34224 | 2006-12-08 |
| 1699729616 | Tiffany Square Family Practice P A | Family Medicine | 2828 S Mccall Rd, Ste 21, Englewood, FL 34224 | 2006-05-22 |
| 1801280532 | Rod Chandler Fuller | Pharmacist | 4100 Mccall Rd, Englewood, FL 34224-2933 | 2015-03-19 |
| Find all providers in zip 34224 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221624 | Jamie Marie Shriver | Physician Assistant | 15859 E Jamison Dr Apt 19308, Englewood, CO 80112-4681 | 2020-10-07 |
| 1104472679 | Lee K Maloney | Physician Assistant | 9570 S Kingston Ct Ste 100, Englewood, CO 80112-6004 | 2019-08-12 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1780110445 | Amanda Lewis | Physician Assistant | 6086 S Iola Way, Englewood, CO 80111-5705 | 2017-05-02 |
| 1649703307 | Tina Marie Jacobs | Physician Assistant | 304 Inverness Way S Ste 312, Englewood, CO 80112-5826 | 2017-04-09 |
| 1134662992 | Orli Feder | Physician Assistant | 60 E Linden Ave, Apt: 5a, Englewood, NJ 07631-3667 | 2016-11-28 |
| 1700258415 | Jenna Lynn Easton | Physician Assistant | 3511 S Clarkson St # 80113, Englewood, CO 80113-3916 | 2015-10-21 |
| 1013257385 | Carolyn Edlund | Physician Assistant | 699 S Indiana Ave, Englewood, FL 34223-3705 | 2013-02-25 |
| 1780933978 | Robert Aaron Prevatt | Physician Assistant | 88 Inverness Cir E Unit J105, Englewood, CO 80112-5527 | 2012-09-04 |
| Find all providers in ENGLEWOOD | ||||
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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.