DR. JULIAN R GERSHON (NPI# 1659419992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659419992 |
| Entity Type | Individual |
| Full Name | DR. JULIAN R GERSHON |
| Credential | D.O. |
| Practice Address |
2400 S Mccall Rd Suite C Englewood FL 34224-5137 |
| Mailing Address |
3434 Hancock Br Pkwy N Ft Myers FL 33903-7094 |
| Practice Telephone | 9414749314 |
| Practice Fax Number | 9414739813 |
| Mailing Telephone | 8778563774 |
| Mailing Fax Number | 2395992625 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OS1928 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS | 80291 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376685222 | Julian Robert Gershon Jr. | Family Medicine | 321 Rood Ave, Grand Junction, CO 81501-2451 | 2007-02-13 |
| Street Address |
2400 S MCCALL RD SUITE C |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34224-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728253 | Sandi Gladstone | Nurse Practitioner | 2400 S Mccall Rd, Englewood, FL 34224-5137 | 2005-05-23 |
| 1649725508 | Allison West | Nurse Practitioner | 2400 S Mccall Rd, Suite C, Englewood, FL 34224-5137 | 2016-08-22 |
| 1649425554 | Carol S Byrum | Massage Therapist | 2400 S Mccall Rd, Ste C, Englewood, FL 34224-5137 | 2008-11-19 |
| 1922295641 | Retina and Macula Consultants Pa | Ophthalmology | 2400 S Mccall Rd, Suite A, Englewood, FL 34224-5137 | 2007-09-26 |
| 1174660823 | Gary Duane Bartlett | Physician Assistant | 2400 S Mccall Rd, Ste C, Englewood, FL 34224-5137 | 2007-01-31 |
| 1750305561 | Ramon Deleon | Internal Medicine | 2400 S Mccall Rd, Ste B, Englewood, FL 34224-5137 | 2006-07-26 |
| 1871572164 | Charles M Gremillion Jr. | Ophthalmology | 2400 S Mccall Rd, Suite A, Englewood, FL 34224-5137 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609373471 | Tammy A Usher | Counselor | 7069 Peacock Ln, Englewood, FL 34224 | 2018-04-09 |
| 1265935720 | Philip Harold Case | Technician, Other | 8591 Lakeside Dr., Englewood, FL 34224 | 2018-03-12 |
| 1851453278 | Herbert Tommy Lane | Podiatrist | 2400 South Mccall Rd, Suite F, Englewood, FL 34224 | 2006-12-14 |
| 1518521327 | Ashley Nicole Schmittendorf | Behavior Technician | 8591 Lakeside Dr, Englewood, FL 34224 | 2019-04-26 |
| 1336625110 | Monica Sosa | Technician, Other | 8591 Lakeside Dr, Englewood, FL 34224 | 2018-07-16 |
| 1811164288 | Bybiana Obrar Tagle | Physical Therapist | 1820 Meadowlark Ln, Englewood, FL 34224 | 2008-05-14 |
| 1114044831 | Beacon Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 2828 S Mccall Rd, Suite 26, Englewood, FL 34224 | 2007-03-26 |
| 1508925918 | Fashions for Health | Prosthetic/Orthotic Supplier | 2828 S Mccall Rd, Ste 26, Englewood, FL 34224 | 2006-12-08 |
| 1699729616 | Tiffany Square Family Practice P A | Family Medicine | 2828 S Mccall Rd, Ste 21, Englewood, FL 34224 | 2006-05-22 |
| 1801280532 | Rod Chandler Fuller | Pharmacist | 4100 Mccall Rd, Englewood, FL 34224-2933 | 2015-03-19 |
| Find all providers in zip 34224 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1275570517 | Lemon Bay Physicians, P.a. | General Practice | 1885 Englewood Rd, Englewood, FL 34223-1822 | 2006-06-02 |
| 1245731140 | New Health Pain Treatment Centers, LLC | General Practice | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2018-02-26 |
| 1144742016 | Denver Springs Physician Group LLC | General Practice | 8835 American Way, Englewood, CO 80112-7056 | 2017-07-12 |
| 1255738050 | Puremed LLC | General Practice | 200 Engle St, Englewood, NJ 07631-2440 | 2014-11-24 |
| 1053729319 | Vibrant Life Medicine, P.C. | General Practice | 286 Engle St, Englewood, NJ 07631-2405 | 2014-07-30 |
| 1922354943 | Nj Spine and Neuropathy Center | General Practice | 200 Engle St, Suite 21, Englewood, NJ 07631-2440 | 2012-07-27 |
| 1528342458 | Restorx | General Practice | 420 Valley View Rd, Englewood, NJ 07631-1621 | 2011-10-11 |
| 1295938025 | Melissa Trapp | General Practice | 2955 S Broadway, Englewood, CO 80113-1526 | 2007-06-08 |
| 1831229673 | Rebekah S Hansmeier | General Practice | 2955 S Broadway, Englewood, CO 80113-1526 | 2007-03-07 |
| Find all providers in ENGLEWOOD | ||||
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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.