DR. CHARLES M GREMILLION JR. (NPI# 1871572164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871572164 |
| Entity Type | Individual |
| Full Name | DR. CHARLES M GREMILLION JR. |
| Credential | MD |
| Practice Address |
2400 S Mccall Rd Suite A Englewood FL 34224-5137 |
| Practice Telephone | 9414609159 |
| Practice Fax Number | 9414609419 |
| Mailing Telephone | 9414609159 |
| Mailing Fax Number | 9414609419 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2013-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 57634 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0569437 | 05 |
| Street Address |
2400 S MCCALL RD SUITE A |
| 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 |
| 1659419992 | Julian R Gershon | General Practice | 2400 S Mccall Rd, Suite C, Englewood, FL 34224-5137 | 2007-02-01 |
| 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 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356860811 | Nj Eye and Ear LLC | Ophthalmology | 17 W Palisade Ave, Englewood, NJ 07631-2705 | 2017-09-15 |
| 1629347422 | Anthony Limoncelli | Ophthalmology | 6840 Manasota Key Rd, Englewood, FL 34223-9265 | 2011-12-22 |
| 1396807905 | Jimmy Hoon Jee | Ophthalmology | 401a S Van Brunt St Ste 200, Englewood, NJ 07631-4600 | 2006-12-14 |
| 1992817274 | Steven F Podgorski Md PC | Ophthalmology | 601 E Hampden, Suite 490, Englewood, CO 80113-2799 | 2006-08-31 |
| 1376583575 | William E Richheimer | Ophthalmology | 180 E Hampden Ave Ste 200, Englewood, CO 80113-2518 | 2006-06-07 |
| 1568469625 | Mimi Liu | Ophthalmology | 850 Englewood Pkwy Ste 200, Englewood, CO 80110-7399 | 2005-07-05 |
| 1962064055 | Denver Ophthalmology Center | Ophthalmology | 850 Englewood Pkwy Ste 100a, Englewood, CO 80110-7328 | 2019-06-28 |
| 1134353626 | Elite Oculoplastic Surgery, PC | Ophthalmology | 125 Inverness Dr E, Suite 100, Englewood, CO 80112-5137 | 2009-05-12 |
| 1568635852 | Retina Vitreous Consultants of New Jersey, LLC | Ophthalmology | 216 Engle St, Suite 201, Englewood, NJ 07631-2444 | 2008-04-08 |
| 1497938799 | Paul E Cutarelli Md Professional LLC | Ophthalmology | 7887 E Belleview Ave, #180, Englewood, CO 80111-6015 | 2007-12-10 |
| 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.