MITCHELL LEE PETUSEVSKY (NPI# 1275584435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275584435 |
| Entity Type | Individual |
| Full Name | MITCHELL LEE PETUSEVSKY |
| Credential | MD |
| Practice Address |
700 2nd Ave N Suite 305 Naples FL 34102-5756 |
| Mailing Address |
3434 Hancock Bridge Pkwy Suite 301 North Fort Myers FL 33903-7094 |
| Practice Telephone | 2392638385 |
| Practice Fax Number | 2392638592 |
| Mailing Telephone | 8778563774 |
| Mailing Fax Number | 2395992625 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2014-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
FLME0042752 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 064860400 | 05 |
| Street Address |
700 2ND AVE N SUITE 305 |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194708834 | Patrice C Case | Dermatology | 700 2nd Ave N, Ste 201, Naples, FL 34102-5756 | 2005-11-28 |
| 1093266991 | Florida Foot and Ankle Specialists Pa | Podiatrist | 700 2nd Ave N, Suite 204, Naples, FL 34102-5756 | 2016-10-17 |
| 1316289887 | Naples Rx Solutions LLC | Pharmacy | 700 2nd Ave N, Suite 101, Naples, FL 34102-5756 | 2013-03-22 |
| 1629369616 | Yvonne Jeanne Giordano | Physician Assistant | 700 2nd Ave N, Suite 202, Naples, FL 34102-5756 | 2011-04-25 |
| 1831334663 | Center for Sleep & Pulmonary | Internal Medicine | 700 2nd Ave N, Suite 305, Naples, FL 34102-5756 | 2008-12-08 |
| 1689835233 | Patrice C Case M D Pa | Dermatology | 700 2nd Ave N, Suite 201, Naples, FL 34102-5756 | 2008-06-17 |
| 1053592063 | Jeffrey E. Fabacher | Counselor | 700 2nd Ave N, Suite 302, Naples, FL 34102-5756 | 2007-11-19 |
| 1538350418 | Victoria B Wadsworth | Nurse Practitioner | 700 2nd Ave N, Suite 202, Naples, FL 34102-5756 | 2007-08-06 |
| 1083833370 | Matthew Robert Bergtold | Chiropractor | 700 2nd Ave N, Ste 203, Naples, FL 34102-5701 | 2007-04-25 |
| 1891820213 | Samantha T Gallagher | Pharmacist | 700 2nd Ave N, Suite 101, Naples, FL 34102-5756 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1912428632 | Daily Care At Home, LLC | Home Health | 180 9th Street South, Suite 200, Naples, FL 34102 | 2017-07-03 |
| 1760737365 | Family Private Care Inc | Home Health | 1008 Goodlette Frank Rd N, Ste 201, Naples, FL 34102 | 2012-07-19 |
| 1013205384 | Valerie Jean Bress | Nurse Practitioner | 350 7th Street, Naples Community Hospital, Naples, FL 34102 | 2011-07-20 |
| 1154573830 | Gustavo D Rivera | Internal Medicine | 1064 Goodlette Road, Naples, FL 34102 | 2008-10-14 |
| 1881872281 | Proscan Imaging Naples, LLC | Radiology | 260 Tamiami Trail N, Naples, FL 34102 | 2008-02-07 |
| 1053595017 | Marlene Ann Diaczynsky | Registered Nurse | 350 7th Street North, Naples Community Hospital, Naples, FL 34102 | 2007-12-26 |
| 1699958330 | Georgiena Cobb | Counselor | 501 Goodlette Rd, Naples, FL 34102 | 2007-12-17 |
| 1124210158 | Maranatha Home Care, Inc. | Registered Nurse | 1164 Goodlette Road, Naples, FL 34102 | 2007-08-14 |
| 1669678645 | Naples Family Dentistry Inc | Dentist | 2176 Tamiami Trail North, Naples, FL 34102 | 2007-06-26 |
| Find all providers in zip 34102 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1104464262 | Naples Pulmonary LLC | Internal Medicine | 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 | 2019-12-19 |
| 1639123359 | Lawrence H Albert | Internal Medicine | 3021 Airport Pulling Rd N, Suite 103, Naples, FL 34105-3077 | 2006-05-19 |
| 1467401612 | Gary Kevin Sporn | Internal Medicine | 311 9th St N Ste 310, Naples, FL 34102-5889 | 2006-05-08 |
| 1770532921 | Southwest Florida Pulmonary Specialists Pa | Internal Medicine | 1012 Goodlette Rd N, Suite 100, Naples, FL 34102-5463 | 2006-05-07 |
| 1750353322 | Ismael Martin | Internal Medicine | 6101 Pine Ridge Rd Fl 3, Naples, FL 34119-3900 | 2006-02-07 |
| 1275172942 | Pccm LLC | Internal Medicine | 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 | 2019-12-30 |
| 1134647886 | Community Intensivists of Florida | Internal Medicine | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2017-09-01 |
| 1336514850 | Premier Pulmonary & Sleep LLC | Internal Medicine | 3021 Airport Pulling Rd N, Naples, FL 34105-3077 | 2015-12-09 |
| 1225322902 | Brenda Maria Juan-guardela | Internal Medicine | 311 9th St N Ste 310, Naples, FL 34102-5889 | 2011-05-31 |
| 1992936488 | Jose Ruben Valle | Internal Medicine | 311 9th St N Ste 100, Naples, FL 34102-5886 | 2009-07-31 |
| Find all providers in NAPLES | ||||
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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.