WILSHIRE MEDICAL ARTS PA (NPI# 1487890547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487890547 |
| Entity Type | Organization |
| Organization Name | WILSHIRE MEDICAL ARTS PA |
| Other Organization Name | LUIS D BERRIOS |
| Practice Address |
425 Cross St Suite 311 & 312 Punta Gorda FL 33950-4877 |
| Practice Telephone | 9416251275 |
| Mailing Telephone | 9416251275 |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |
| Authorized Official Name | LUIS D BERRIOS (OWNER) |
| Authorized Official Telephone | 9416251275 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME31998 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Luis D Berrios | Doing Business As Name - Organization |
| Street Address |
425 CROSS ST SUITE 311 & 312 |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-4877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001849 | Deborah Burgess | Counselor | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2005-08-26 |
| 1073877643 | Daniel B Goldman Phd, LLC | Psychologist | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2012-06-28 |
| 1114288487 | Daniel Bass Goldman | Psychologist | 425 Cross St, #111, Punta Gorda, FL 33950-4877 | 2012-06-04 |
| 1003049172 | Peace River Psychology Center Pa | Psychologist | 425 Cross St, Ste 111, Punta Gorda, FL 33950-4877 | 2009-08-24 |
| 1497829584 | Luis D Berrios | Family Medicine | 425 Cross St, Unit 311 & 312, Punta Gorda, FL 33950-4877 | 2006-11-20 |
| 1962519025 | Suzanne Spross | Psychologist | 425 Cross St, Punta Gorda, FL 33950-4877 | 2006-08-24 |
| 1558376905 | Douglas James Shadle | Psychiatry & Neurology | 425 Cross St, Suite 116, Punta Gorda, FL 33950-4872 | 2006-07-31 |
| 1346233095 | Steven R Pollard | Psychologist | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2005-08-29 |
| 1063405785 | Karin Galliano | Psychologist | 425 Cross St, 111, Punta Gorda, FL 33950-4877 | 2005-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| 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 |
|---|---|---|---|---|
| 1669970315 | Internal Medicine & Endocrinology of Southwest Florida Pllc | Internal Medicine | 713 E Marion Ave Ste 127, Punta Gorda, FL 33950-3862 | 2018-01-29 |
| 1629273529 | Jennifer Anne Cooke | Internal Medicine | 318 Tamiami Trl Ste 226, Punta Gorda, FL 33950-4871 | 2007-06-19 |
| 1376637439 | Peter Stayer New | Internal Medicine | 1133 Bal Harbor Blvd, Punta Gorda, FL 33950-6577 | 2006-10-03 |
| 1215045182 | Donald A Garrow | Internal Medicine | 6210 Scott St Unit 216, Punta Gorda, FL 33950-3901 | 2006-08-29 |
| 1528009735 | Allan James Boyum | Internal Medicine | 26242 Stillwater Cir, Punta Gorda, FL 33955-4731 | 2006-06-09 |
| 1659342004 | Timothy Allen Janz | Internal Medicine | 522 E Marion Ave, Punta Gorda, FL 33950-3875 | 2006-02-01 |
| 1427031517 | Nancy Hundt | Internal Medicine | 25086 Olympia Ave, Suite 320, Punta Gorda, FL 33950 | 2005-11-22 |
| 1861483505 | Zaida C Bermudez | Internal Medicine | 350 Mary St, Suite A, Punta Gorda, FL 33950-4564 | 2005-11-02 |
| 1568450831 | Birgit Bodine | Internal Medicine | 10043 Winding River Rd, Punta Gorda, FL 33950-1302 | 2005-10-11 |
| 1811984529 | National Medical Affiliates Inc | Internal Medicine | 517 Tamiami Trl, Suite C, Punta Gorda, FL 33950-5520 | 2005-09-29 |
| Find all providers in PUNTA GORDA | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
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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.