GARY D SMALL DPM CORP (NPI# 1528133022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528133022 |
| Entity Type | Organization |
| Organization Name | GARY D SMALL DPM CORP |
| Other Organization Name | CORAL GABLES PODIATRY CENTER |
| Practice Address |
2645 Sw 37th Ave Suite 704 Miami FL 33133 |
| Practice Telephone | 3054447114 |
| Practice Fax Number | 3054449587 |
| Mailing Telephone | 3054447114 |
| Mailing Fax Number | 3054449587 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2016-05-09 |
| Authorized Official Name | MISS SAMANTHA MARTINEZ (OWNER) |
| Authorized Official Telephone | 3054447114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO2363 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | DD8704 | 01 |
| FL | 390143200 | 05 |
| Other Name | Type Code |
|---|---|
| Coral Gables Podiatry Center | Doing Business As Name - Organization |
| Street Address |
2645 SW 37TH AVE SUITE 704 |
| City | MIAMI |
| State | FL |
| Zip Code | 33133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680421 | Phoenix Dental, Inc | Clinic/Center | 2645 Sw 37th Ave, Ste 303, Miami, FL 33133-2754 | 2005-06-27 |
| 1417583949 | Kristyn Alexus Sola | Physician Assistant | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2020-03-16 |
| 1750945085 | Juan J Sanchez Velasquez | Specialist/Technologist, Other | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2019-04-22 |
| 1043759749 | Sanitas Dental of Coral Gables | Clinic/Center | 2645 Sw 37th Ave, Suite 303, Miami, FL 33133-2754 | 2017-02-15 |
| 1194180166 | Dean M. Zusmer, D.c. P.a. | Chiropractor | 2645 Sw 37th Ave, Suite #503, Miami, FL 33133-2754 | 2015-12-17 |
| 1972999613 | Sal Health Group, LLC | Exclusive Provider Organization | 2645 Sw 37th Ave, Suite 601, Miami, FL 33133-2754 | 2015-04-09 |
| 1750770806 | Amaury Frias | Specialist/Technologist, Other | 2645 Sw 37th Ave, Suite 400, Miami, FL 33133-2754 | 2015-01-13 |
| 1821491358 | Coral Gables Dental Health Centre, Pa | Clinic/Center | 2645 Sw 37th Ave, #303, Miami, FL 33133-2754 | 2014-09-29 |
| 1740615418 | Dental Specialists of Coral Gables Group Co. | Dentist | 2645 Sw 37th Ave, Miami, FL 33133-2754 | 2013-09-12 |
| 1902174758 | Gary D. Small Dpm Corp | Non-Pharmacy Dispensing Site | 2645 Sw 37th Ave, Suite 704, Miami, FL 33133-2754 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831367 | Thelma Oliver Pyton | Case Manager/Care Coordinator | 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 | 2020-02-04 |
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1720629876 | Julian De Jesus Mazuera Pelaez | Specialist/Technologist, Other | 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 | 2019-09-30 |
| 1558831131 | Jessica Dehombre | Speech-Language Pathologist | 2780 Sw Douglas Road Suite 203, Miami, FL 33133 | 2018-11-27 |
| 1043723620 | Alayn Fleites Gonzalez | Behavioral Analyst | 2950 S. Dixie Hwy, Miami, FL 33133 | 2017-11-06 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| 1639696305 | Nanci Hellinger | Dietitian, Registered | 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 | 2017-08-24 |
| 1619497922 | Yanet Bonet Mill I | Behavioral Analyst | 2740 Sw 31 Ave, Miami, FL 33133 | 2017-06-27 |
| 1619497534 | Pathwaves Incorporated | Counselor | 2503 Southwest 27 Avenue, Miami, FL 33133 | 2017-06-21 |
| Find all providers in zip 33133 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1063866242 | Brian Asencio | Podiatrist | 9035 Sw 72nd St Ste 104, Miami, FL 33173 | 2016-04-14 |
| 1659738227 | Ralph Ramos | Podiatrist | 1330 Coral Way Ste 408, Miami, FL 33145-2945 | 2016-01-27 |
| 1154787364 | Sunshine Podiatry Center,llc | Podiatrist | 13412 Sw 6th St, Miami, FL 33184-1142 | 2016-01-05 |
| 1558750315 | Sweetwater Medical & Spa Services | Podiatrist | 35 Sw 114th Ave Apt 105, Miami, FL 33174-1005 | 2015-01-16 |
| 1619373818 | Zahra Karbasian | Podiatrist | 13500 Sw 88 St, Ste185, Miami, FL 33186-1528 | 2014-11-15 |
| 1073928974 | Hugo Alejandro Fernandez | Podiatrist | 2150 Sw 16th Ave Apt 408, Miami, FL 33145-2866 | 2014-06-30 |
| 1689088189 | Luis A Rodriguez Anaya | Podiatrist | 3659 S Miami Ave Ste 3008, Miami, FL 33133-4225 | 2014-06-12 |
| 1275950511 | Katherine Machado | Podiatrist | 8785 Sw 165th Ave Ste 110, Miami, FL 33193 | 2014-03-25 |
| 1144654625 | Stem Cell Miami | Podiatrist | 6401 Galloway Rd, Suite 109, Miami, FL 33173-2500 | 2013-09-03 |
| Find all providers in MIAMI | ||||
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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.