DR. DAVID W GERGEN (NPI# 1598878191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598878191 |
| Entity Type | Individual |
| Full Name | DR. DAVID W GERGEN |
| Credential | D.P.M. |
| Practice Address |
5421 S Florida Ave Lakeland FL 33813-2523 |
| Practice Telephone | 8636465960 |
| Mailing Telephone | 8636465960 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 2871 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 16731 | 01 |
| FL | UHC | 1634148 | 01 |
| Street Address |
5421 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013988658 | Jeffrey C Karr | Podiatrist | 5421 S Florida Ave, Lakeland, FL 33813 | 2006-01-31 |
| 1972809093 | Alexander C Mbakwem Md Pa | Internal Medicine | 5421 S Florida Ave, Lakeland, FL 33813-2523 | 2011-02-07 |
| 1396963880 | Karr Foot Kare, Pa | Podiatrist | 5421 S Florida Ave, Lakeland, FL 33813-2523 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003884917 | William S Wong | Podiatrist | 927 S Florida Ave, Lakeland, FL 33803-1149 | 2006-03-08 |
| 1992776975 | Gabriel Felix Delgado | Podiatrist | 203 Kerneywood St, Lakeland, FL 33803-2947 | 2006-01-30 |
| 1619269362 | Kelly A. Poncheri Dpm Pa | Podiatrist | 4692 Exploration Ave, Lakeland, FL 33812-4107 | 2011-05-12 |
| 1134438948 | James Pruchniewski Dpm Pa | Podiatrist | 4973 Us Highway 98 N, Lakeland, FL 33809-3657 | 2010-09-28 |
| 1689823742 | Kelly A Poncheri | Podiatrist | 4712 Exploration Ave, Lakeland, FL 33812-3319 | 2008-09-15 |
| 1801067194 | Gabriel F Delgado Dpm Pa | Podiatrist | 203 Kerneywood St, Lakeland, FL 33803-2947 | 2008-03-14 |
| 1861662546 | Eric J. Breuggeman Dpm, Pa | Podiatrist | 1443 Lakeland Hills Blvd, Lakeland, FL 33805-3206 | 2008-03-10 |
| 1528241304 | William S Wong, D.p.m. P.a. | Podiatrist | 927 S Florida Ave, Lakeland, FL 33803-1149 | 2007-12-14 |
| 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 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DAVID W GERGEN.
| 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.