GULF COAST HMA PHYSICIAN MANAGEMENT LLC (NPI# 1407806094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407806094 |
| Entity Type | Organization |
| Organization Name | GULF COAST HMA PHYSICIAN MANAGEMENT LLC |
| Other Organization Name | GULF COAST MEDICAL GROUP |
| Practice Address |
1101 Tamiami Trl S Suite 101 Venice FL 34285-4133 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2704 |
| Practice Telephone | 9414802831 |
| Practice Fax Number | 9414802820 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395989433 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-07-27 |
| Authorized Official Name | MR. STANLEY D MCLEMORE (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GROUP PROVIDER NUMBE | 94784 | 01 |
| Other Name | Type Code |
|---|---|
| Gulf Coast Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770879363 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 1000 Aston Gardens Dr, Venice, FL 34292-3078 | 2011-06-22 |
| 1699072934 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 250 W Dearborn St, Englewood, FL 34223-3245 | 2011-02-23 |
| 1558745463 | Gulf Coast Hma Physician Management LLC | Dietitian, Registered | 1370 E Venice Ave, Ste 205, Venice, FL 34285-9082 | 2015-07-10 |
| 1932470648 | Gulf Coast Hma Physician Management LLC | Podiatrist | 1211 Jacaranda Blvd, Venice, FL 34292-4520 | 2012-01-26 |
| 1255625067 | Gulf Coast Hma Physician Management LLC | Pain Medicine | 417 Commercial Ct, Suite A6, Venice, FL 34292-1655 | 2011-06-09 |
| 1861790206 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1720 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1770881112 | Gulf Coast Hma Physician Management LLC | Clinical Medical Laboratory | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1033417472 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 1700 E Venice Ave, Venice, FL 34292-3190 | 2011-03-09 |
| 1851699292 | Gulf Coast Hma Physician Management LLC | Nurse Practitioner | 333 Miami Ave W, Venice, FL 34285-2361 | 2011-03-09 |
| 1760780100 | Gulf Coast Hma Physician Management LLC | Internal Medicine | 333 Tamiami Trl S, Suite 101, Venice, FL 34285-2402 | 2011-03-09 |
| Street Address |
1101 TAMIAMI TRL S SUITE 101 |
| City | VENICE |
| State | FL |
| Zip Code | 34285-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669710968 | Janis Marilyn Carey | Social Worker | 1101 Tamiami Trl S, Suite 208, Venice, FL 34285-4133 | 2013-01-21 |
| 1336459379 | Kuncheria Joseph Md Pa | Clinic/Center | 1101 Tamiami Trl S, Suite 202, Venice, FL 34285-4133 | 2010-10-08 |
| 1144415324 | Kuncheria Joseph | Internal Medicine | 1101 Tamiami Trl S, Suite 202, Venice, FL 34285-4133 | 2007-09-11 |
| 1528199486 | Venice Area Partial Services, Inc. | Counselor | 1101 Tamiami Trl S, Suite 215, Venice, FL 34285-4133 | 2007-03-09 |
| 1437209053 | Michael Alan Baer | Psychologist | 1101 Tamiami Trl S, Suite # 206, Venice, FL 34285-4133 | 2007-01-12 |
| 1750465910 | Kevin James Miller | Family Medicine | 1101 Tamiami Trl S, Suite 108, Venice, FL 34285-4133 | 2006-10-24 |
| 1184708356 | Paradise Family Healthcare Inc | Family Medicine | 1101 Tamiami Trl S, Suite 108, Venice, FL 34285-4133 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1356881585 | Raymond Lachlan Steele | Internal Medicine | 842 Sunset Lake Blvd Ste 401, Venice, FL 34292-7553 | 2017-03-07 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1407090921 | John Melecito Baga | Internal Medicine | 1720 E Venice Ave, Venice, FL 34292-3190 | 2009-04-28 |
| 1376795401 | Venetian Hospitalist Services | Internal Medicine | 535 Us Hwy 41 Bypass N, Ste 239, Venice, FL 34292-0000 | 2008-10-21 |
| 1295946804 | Robert Joel Heller | Internal Medicine | 1126 Rose Ave, Venice, CA 90291-2835 | 2007-05-24 |
| 1184783615 | Todd Feinman | Internal Medicine | 1532 Penmar Ave, Venice, CA 90291-2936 | 2006-12-08 |
| 1437255916 | Eric Lough | Internal Medicine | 329 Nokomis Ave S Ste F, Venice, FL 34285-2418 | 2006-09-15 |
| 1750494555 | Rosaura E Baez | Internal Medicine | 4125 S Tamiami Trl Ste 2, Venice, FL 34293-5121 | 2006-08-16 |
| 1154333581 | Guillermo Marcos Oynick Yaschin | Internal Medicine | 1287 Us Highway 41bypass S, Venice, FL 34285-5545 | 2006-08-13 |
| 1306860382 | Robert R Lastomirsky | Internal Medicine | 740 The Rialto, Venice, FL 34285-3524 | 2006-07-26 |
| Find all providers in VENICE | ||||
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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.