PAUL DAVID DERNBACH (NPI# 1326099003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326099003 |
| Entity Type | Individual |
| Full Name | PAUL DAVID DERNBACH |
| Credential | ME |
| Practice Address |
730 Goodlette Rd N Suite 100 Naples FL 34102-5616 |
| Mailing Address |
730 Goodlette Rd N Suite 100b Naples FL 34102-5616 |
| Practice Telephone | 2392621721 |
| Practice Fax Number | 2362621045 |
| Mailing Telephone | 2392621721 |
| Mailing Fax Number | 2362621045 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME0061520 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 260277600 | 05 | |
| FL | DEA | AD3147243 | 01 |
| FL | BCBS | 14803 | 01 |
| Street Address |
730 GOODLETTE RD N SUITE 100 |
| City | NAPLES |
| State | FL |
| Zip Code | 34102-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849581 | Morgan Medical Corp | Radiology | 730 Goodlette Rd N, Ste 101, Naples, FL 34102-5616 | 2005-08-24 |
| 1295276210 | Leon Mead Md Pa | Specialist | 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5616 | 2017-03-09 |
| 1841679461 | E Sean Kelley Md LLC | Physical Medicine & Rehabilitation | 730 Goodlette Rd N, Suite 203, Naples, FL 34102-5616 | 2015-05-28 |
| 1417389883 | Naples Dental Studio, LLC | Dentist | 730 Goodlette Rd N, Suite 206, Naples, FL 34102-5616 | 2013-08-07 |
| 1871878405 | Fady N Labib Ibrahim | Physician Assistant | 730 Goodlette Rd N, Suite 100, Naples, FL 34102-5616 | 2011-10-14 |
| 1508045048 | Anchor Health Centers Pa | Physical Medicine & Rehabilitation | 730 Goodlette Rd N, Suite 203, Naples, FL 34102-5616 | 2007-11-01 |
| 1942337597 | Amy M O'brien | Physician Assistant | 730 Goodlette Rd N, Suite 201, Naples, FL 34102-5616 | 2007-02-28 |
| 1811098205 | Travis C Goss Jr. | Dentist | 730 Goodlette Rd N, Suite 206, Naples, FL 34102-5616 | 2006-09-26 |
| 1861412074 | 21st Century Oncology LLC | Surgery | 730 Goodlette Rd N, Suite 204, Naples, FL 34102-5616 | 2006-07-20 |
| 1356387369 | Jan Forszpaniak | Surgery | 730 Goodlette Rd N, Suite 204, Naples, FL 34102-5616 | 2006-06-20 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542364 | Michelle Carnes | Neurological Surgery | 2575 Northbrooke Plaza Dr Unit 100, Naples, FL 34119-8105 | 2020-03-06 |
| 1497722425 | Geoffrey W Colino | Neurological Surgery | 1212 Michigan Ave, Naples, FL 34103-3874 | 2006-03-08 |
| 1396744397 | Mark B Gerber | Neurological Surgery | 6101 Pine Ridge Rd # Desk10, Naples, FL 34119-3900 | 2005-07-20 |
| 1609873280 | Neuroscience and Spine Associates, P.l. | Neurological Surgery | 877 111th Avenue North, Suite 1, Naples, FL 34108 | 2005-06-28 |
| 1386057362 | Variety Children's Hospital | Neurological Surgery | 1265 Creekside Pkwy, Suite 200, Naples, FL 34108-1946 | 2014-06-06 |
| 1164869178 | Mark Benjamin Frenkel | Neurological Surgery | 6101 Pine Ridge Rd # Desk10, Naples, FL 34119-3900 | 2013-05-30 |
| 1114220845 | Neuroscience and Spine Associates, Pl | Neurological Surgery | 6101 Pine Ridge Rd # Desk10, Naples, FL 34119-3900 | 2010-12-20 |
| 1689806465 | Paul S Richard | Neurological Surgery | 6101 Pine Ridge Rd # Desk10, Naples, FL 34119-3900 | 2009-08-13 |
| 1063584357 | Brian D Wolff Md Pa | Neurological Surgery | 671 Goodlette Rd N, Suite 120, Naples, FL 34102-5469 | 2006-11-14 |
| 1043399819 | Christopher Joseph Pham | Neurological Surgery | 2515 Northbrooke Plaza Dr, Suite 200, Naples, FL 34119-8088 | 2006-11-03 |
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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.