DR. PAUL EUGENE GREGOLINE (NPI# 1265496384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265496384 |
| Entity Type | Individual |
| Full Name | DR. PAUL EUGENE GREGOLINE |
| Credential | DPM |
| Practice Address |
45 Nw 4th St Homestead FL 33030-5941 |
| Mailing Address |
1865 S Ocean Dr Hallandale Beach FL 33009-7651 |
| Practice Telephone | 7862593239 |
| Practice Fax Number | 3052468556 |
| Mailing Telephone | 9547932387 |
| Mailing Fax Number | 9544575539 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2009-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO2877 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE NUMBER | P00646504 | 01 |
| FL | ORGANIZATION NPI | 1114963006 | 01 |
| FL | 340156101 | 05 |
| Street Address |
45 NW 4TH ST |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33030-5941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831187798 | Linda R. Fagan, Inc. | Nurse Practitioner | 45 Nw 4th St, Homestead, FL 33030-5941 | 2005-10-13 |
| 1245582824 | Linda R. Fagan Inc. | Nurse Practitioner | 45 Nw 4th St, Homestead, FL 33030-5941 | 2012-10-08 |
| 1154590602 | Linda Chiapetta Fagan | Nurse Practitioner | 45 Nw 4th St, Homestead, FL 33030-5941 | 2008-02-28 |
| 1114963006 | Paul E Gregoline Dpm Pa | Podiatrist | 45 Nw 4th St, Homestead, FL 33030-5941 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515871 | Clinica Las Mercedes Vi, Inc | Clinic/Center | 290 Ne 8 Street, Homestead, FL 33030 | 2019-12-18 |
| 1770124331 | Md Now Medical Centers Inc | Clinic/Center | 729 S Homestead Blvd, Homestead, FL 33030 | 2019-10-04 |
| 1437611787 | Yevgeniy Mailyan | Behavior Technician | 1513 Sw 2nd Court, Homestead, FL 33030 | 2019-04-04 |
| 1144789306 | Special Delivery Health Center, LLC | Midwife | 123 N. Krome Avenue, Suite 101, Homestead, FL 33030 | 2019-03-18 |
| 1144718578 | Galovin Solutions Inc | Behavioral Analyst | 50 Nw 15th St Ste 111, Homestead, FL 33030 | 2018-05-01 |
| 1003332073 | Juan C Gonzalez Ibarra | Behavior Technician | 800 Ne 12th Ave Apt# C214, Homestead, FL 33030 | 2017-08-21 |
| 1023534757 | Lunilda L Mcvay | Psychologist | 151 Nw 11st St Suite W-201, Monarch All Health, LLC, Homestead, FL 33030 | 2017-08-15 |
| 1295250025 | Clara L Perez | Behavior Technician | 800 Ne 12th Ave Apt# L256, Homestead, FL 33030 | 2017-08-14 |
| 1205350535 | Charity's Homemaker Companion Services, LLC | Homemaker | 30855 Sw 205 Ave, Homestead, FL 33030 | 2017-07-28 |
| 1003346693 | Yanet Rodriguez Sardinas | Behavioral Analyst | 906 Nw 3rd Ave, Homestead, FL 33030 | 2017-06-15 |
| Find all providers in zip 33030 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750723623 | Perfectfeetcare, Inc | Podiatrist | 922 N Krome Ave, Homestead, FL 33030-4409 | 2013-07-22 |
| 1033459425 | Kathleen M Oconnell Dpm PC | Podiatrist | 495 E Waterfront Drive, Suite 230, Homestead, PA 15120-1151 | 2013-02-21 |
| 1285908269 | Francis Woedje Wodie | Podiatrist | 975 Baptist Way Ste 101, Homestead, FL 33033-7600 | 2012-03-08 |
| 1225214968 | Stephen J Kruljac, D.p.m., P.C. | Podiatrist | 495 East Waterfront Drive, Suite 230, Homestead, PA 15120-1151 | 2008-01-11 |
| 1689850323 | Rodger B Kuhn, D.p.m.. P.C. | Podiatrist | 495 East Waterfront Drive, Suite 230, Homestead, PA 15120-1151 | 2008-01-11 |
| 1316123052 | John J Distazio, D.p.m., P.C. | Podiatrist | 495 E Waterfront Drive, Suite 230, Homestead, PA 15120-1151 | 2008-01-11 |
| 1710912845 | Stanley D. Bosta Dpm PC | Podiatrist | 495 Waterfront Dr E, Suite230, Homestead, PA 15120-1140 | 2006-07-11 |
| 1710911912 | William H. Lenz, Dpm, PC | Podiatrist | 495 Waterfront Dr E, Suite 230, Homestead, PA 15120-1140 | 2006-07-11 |
| 1114963006 | Paul E Gregoline Dpm Pa | Podiatrist | 45 Nw 4th St, Homestead, FL 33030-5941 | 2006-06-21 |
| 1851363402 | Rodger B Kuhn | Podiatrist | 495 Waterfront Dr E, Suite 230, Homestead, PA 15120-1140 | 2006-02-07 |
| Find all providers in HOMESTEAD | ||||
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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.