GAUTHAM MOGILISHETTY (NPI# 1649237314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649237314 |
| Entity Type | Individual |
| Full Name | GAUTHAM MOGILISHETTY |
| Credential | M.D. |
| Practice Address |
13685 Doctors Way Suite 310 Fort Myers FL 33912-4300 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393431400 |
| Practice Fax Number | 2393431430 |
| Mailing Telephone | 2394241400 |
| Mailing Fax Number | 2394241421 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2016-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35-084821 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME129188 | FL | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35-084821 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64091192 | 05 | |
| OH | 2521542 | 05 | |
| OH | RAIL ROAD MEDICARE | P00158085 | 01 |
| IN | 200207710 | 05 |
| Street Address |
13685 DOCTORS WAY SUITE 310 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244829 | Susanna F. Beshai | Surgery | 13685 Doctors Way, Suite 310, Fort Myers, FL 33912-4336 | 2005-06-13 |
| 1114472842 | Marsha Wright | Nurse Practitioner | 13685 Doctors Way, Suite 170, Fort Myers, FL 33912-4336 | 2016-08-23 |
| 1194187070 | Melissa M Francis | Nurse Practitioner | 13685 Doctors Way, Suite 330, Fort Myers, FL 33912 | 2016-03-22 |
| 1275885188 | Roger Gorfinkel | Physician Assistant | 13685 Doctors Way, Suite 170, Fort Myers, FL 33912-4336 | 2012-10-03 |
| 1528211752 | Associates In Cancer Care Pa | Internal Medicine | 13685 Doctors Way, Suite 140, Fort Myers, FL 33912-4336 | 2008-10-31 |
| 1023272770 | Vascular & General Surgical Specialists of Sw Florida | Specialist | 13685 Doctors Way, Suite 310, Fort Myers, FL 33912-4336 | 2008-07-11 |
| 1699947465 | Rehabilitation Consultants Pa | Pain Medicine | 13685 Doctors Way, Ste 190, Fort Myers, FL 33912-4336 | 2008-04-01 |
| 1528119930 | New Horizons Womens Health | Specialist | 13685 Doctors Way, Suite 170, Fort Myers, FL 33912-4336 | 2007-01-13 |
| 1568535870 | Gulf Coast Medical Pharmacy Inc | Health Maintenance Organization | 13685 Doctors Way, Suite #150, Fort Myers, FL 33912-4336 | 2006-11-16 |
| 1790724144 | Elizabeth Roche | Physician Assistant | 13685 Doctors Way, Suite 310, Fort Myers, FL 33912-4336 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1972117109 | Mogilishetty Pllc | Internal Medicine | 10012 Gulf Center Dr Ste 5292, Fort Myers, FL 33913-8904 | 2020-09-04 |
| 1114953874 | Pauline Chusid | Internal Medicine | 24 Falconwood Ct, Fort Myers, FL 33919-7535 | 2006-06-24 |
| 1154551521 | Shalini Saith | Internal Medicine | 13685 Doctors Way Ste 330, Fort Myers, FL 33912-4347 | 2009-07-20 |
| 1164541801 | Bishal Rawal | Internal Medicine | 7981 Gladiolus Dr, Fort Myers, FL 33908-4154 | 2007-03-27 |
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| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1245853746 | Ronald M. Goldin, M.d.,p.a. | Internal Medicine | 4215 Burns Rd Ste 240, Palm Beach Gardens, FL 33410-4625 | 2020-05-19 |
| 1447879739 | F Duncan Scott Md Pa | Internal Medicine | 4516 E Highway 20 # 108, Niceville, FL 32578-9755 | 2020-04-16 |
| 1245879055 | Atza Swicht Transportation Corp | Internal Medicine | 1309 Santa Rosa Dr Apt 202, Kissimmee, FL 34741-7572 | 2019-12-26 |
| 1427699859 | Nephro Care Solutions, LLC | Internal Medicine | 1401 Sw 107th Ave Ste 301m, Miami, FL 33174-2553 | 2019-10-07 |
| 1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
| 1427617265 | Sunstate Kidney & Hypertension LLC | Internal Medicine | 9907 Warm Stone St, Thonotosassa, FL 33592-3350 | 2019-06-06 |
| 1205490091 | Central Florida Nephrology Pllc | Internal Medicine | 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 | 2019-04-26 |
| 1548732134 | Mohamad El Kassem LLC | Internal Medicine | 5951 Nw 65th Ct, Parkland, FL 33067-4500 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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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.