GYNDOC, LLC (NPI# 1639474505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639474505 |
| Entity Type | Organization |
| Organization Name | GYNDOC, LLC |
| Practice Address |
131 E Redstone Ave Suite 109 Crestview FL 32539-5326 |
| Practice Telephone | 8506831100 |
| Practice Fax Number | 8506830599 |
| Mailing Telephone | 8506831100 |
| Mailing Fax Number | 8506830599 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-05-03 |
| Authorized Official Name | DR. CHARLES WAYNE MCFATTER (PRESIDENT) |
| Authorized Official Telephone | 3348582304 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME65594 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
131 E REDSTONE AVE SUITE 109 |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32539-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124052014 | Abdul Basit Mir | Internal Medicine | 131 E Redstone Ave, Suite 101, Crestview, FL 32539-5326 | 2006-07-10 |
| 1922301654 | Stricker Mays Md, Pa | Obstetrics & Gynecology | 131 E Redstone Ave, Suite # 109, Crestview, FL 32539-5326 | 2010-12-20 |
| 1538473103 | Helen A Preston Md Pa | Internal Medicine | 131 E Redstone Ave, Suite 105, Crestview, FL 32539-5326 | 2010-08-05 |
| 1346561289 | 21st Century Oncology LLC | Urology | 131 E Redstone Ave, Suite 102, Crestview, FL 32539-5326 | 2010-06-15 |
| 1255660775 | Abdul B Mir Md Pa | Internal Medicine | 131 E Redstone Ave, Suite 101, Crestview, FL 32539-5326 | 2009-12-11 |
| 1063680528 | Okaloosa Pulmonary & Sleep Medicine Clinic | Specialist | 131 E Redstone Ave, Suite 105, Crestview, FL 32539-5326 | 2008-02-18 |
| 1396879185 | Christopher Md & Associates, Pa | Family Medicine | 131 E Redstone Ave, Suite 107, Crestview, FL 32539-5326 | 2007-03-15 |
| 1144320318 | Helen Ann Preston | Internal Medicine | 131 E Redstone Ave, Suite 110, Crestview, FL 32539-5326 | 2006-09-25 |
| 1427169572 | Dress Gynecology & Associates Pa | Obstetrics & Gynecology | 131 E Redstone Ave, Suite 108, Crestview, FL 32539-5326 | 2006-08-31 |
| 1619990215 | Susan Griffin | Nurse Practitioner | 131 E Redstone Ave, Suite 109, Crestview, FL 32539-5326 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326418336 | Abc Pediatrics of Okaloosa | Pediatrics | 182 E. Redstone Ave, Suite B, Crestview, FL 32539 | 2015-10-02 |
| 1336498443 | Jessica Carolina Carroll | Counselor | 259 E. Oakdale Ave, Crestview, FL 32539 | 2012-09-05 |
| 1902167166 | Patricia Guess | Registered Nurse | 6011 Aubrey Lee Ln, Crestview, FL 32539 | 2012-06-05 |
| 1699048181 | Chien Nguyen | Clinical Medical Laboratory | 151 East Redstone Avenue, Crestview, FL 32539 | 2012-02-15 |
| 1043494164 | Crestview Mri | Clinic/Center | 700 Hospital Drive, Crestview, FL 32539 | 2007-12-26 |
| 1558581215 | Barnes Healthcare of Fl LLC | Durable Medical Equipment & Medical Supplies | 450 Brookmeade Dr, Crestview, FL 32539 | 2007-04-26 |
| 1568576098 | Okaloosa Youth Development Center | Substance Abuse Rehabilitation Facility | 4449 Straighline Road, Crestview, FL 32539 | 2006-08-19 |
| 1154368181 | Marcello Borzatta | Surgery | 129 E. Redstone Ave, Suite A, Crestview, FL 32539 | 2006-05-31 |
| 1902850258 | Panhandle Orthopaedics LLC | Physical Therapist | 710 Hospital Drive, Crestview, FL 32539 | 2006-05-20 |
| 1619941440 | Yale R Smith | Anesthesiology | 151 Redstone Ave Se, Pinnacle Physicians LLC, Crestview, FL 32539 | 2006-02-16 |
| Find all providers in zip 32539 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922301654 | Stricker Mays Md, Pa | Obstetrics & Gynecology | 131 E Redstone Ave, Suite # 109, Crestview, FL 32539-5326 | 2010-12-20 |
| 1427169572 | Dress Gynecology & Associates Pa | Obstetrics & Gynecology | 131 E Redstone Ave, Suite 108, Crestview, FL 32539-5326 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910240 | Jeffrey M Greenberg Md Medical Services Inc | Obstetrics & Gynecology | 13324 Pond Apple Dr W, Naples, FL 34119-8556 | 2020-10-20 |
| 1497365464 | Hamel Foundation Inc | Obstetrics & Gynecology | 7777 N University Dr Ste 206, Tamarac, FL 33321-6106 | 2020-08-05 |
| 1336786466 | Manfred Emil Trostel | Obstetrics & Gynecology | 2425 Gulf of Mexico Dr Unit 8d, Longboat Key, FL 34228-3213 | 2019-12-09 |
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
| 1649748666 | Kristin M Jackson LLC | Obstetrics & Gynecology | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2018-11-07 |
| 1710476239 | Yvette Pereyra Ans | Obstetrics & Gynecology | 3990 Sheridan St Ste 214, Hollywood, FL 33021-3656 | 2018-05-10 |
| 1194223800 | Vandyke Md Ob/gyn Pa | Obstetrics & Gynecology | 9161 Narcoossee Rd Ste B209, Orlando, FL 32827-5764 | 2018-01-28 |
| 1538676515 | Adam Ostrzenski | Obstetrics & Gynecology | 7001 Central Ave Ste 3, St Petersburg, FL 33710-7549 | 2017-12-29 |
| 1144735945 | Judith Watson Bradfield | Obstetrics & Gynecology | 8024 Links Way, Port St Lucie, FL 34986-3035 | 2017-12-04 |
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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.