GORDON ST CLAIR BASKIN (NPI# 1912972647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912972647 |
| Entity Type | Individual |
| Full Name | GORDON ST CLAIR BASKIN |
| Credential | M.D. |
| Practice Address |
1050 Se Monterey Rd Suite 204 Stuart FL 34994-4512 |
| Practice Telephone | 7727815960 |
| Practice Fax Number | 7724190190 |
| Mailing Telephone | 7727815960 |
| Mailing Fax Number | 7724190190 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2014-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME045009 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264953500 | 05 |
| Street Address |
1050 SE MONTEREY RD SUITE 204 |
| City | STUART |
| State | FL |
| Zip Code | 34994-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087737 | Rafael Angel Diaz | Optometrist | 1050 Se Monterey Rd, Ste 103, Stuart, FL 34994-4512 | 2005-07-20 |
| 1053772095 | Erin Shaw | Family Medicine | 1050 Se Monterey Rd, 201, Stuart, FL 34994-4512 | 2016-03-18 |
| 1851751895 | Cristina Maria Quintairos-raley | Physical Therapist | 1050 Se Monterey Rd, Suite 304, Stuart, FL 34994-4512 | 2016-03-03 |
| 1811365646 | Premier Neurology and Wellness Center, LLC | Specialist | 1050 Se Monterey Rd, Suite 302, Stuart, FL 34994-4512 | 2015-09-10 |
| 1861879223 | Ashley Erikson | Nurse Practitioner | 1050 Se Monterey Rd, Suite 202, Stuart, FL 34994-4512 | 2015-05-05 |
| 1700277217 | Samantha Ann Hamilton | Nurse Practitioner | 1050 Se Monterey Rd, 101, Stuart, FL 34994-4512 | 2015-02-05 |
| 1154731362 | Advanced Digestive Care of Stuart | Specialist | 1050 Se Monterey Rd, Suite 203, Stuart, FL 34994-4512 | 2014-04-28 |
| 1942553144 | Katz Pediatrics P.a. | Pediatrics | 1050 Se Monterey Rd, Ste 302, Stuart, FL 34994-4512 | 2012-10-25 |
| 1588936025 | Kelly L Carbonaro | Nurse Practitioner | 1050 Se Monterey Rd, #201, Stuart, FL 34994-4512 | 2012-01-30 |
| 1609164029 | Advanced Colorectal Surgery and Wellness | Colon & Rectal Surgery | 1050 Se Monterey Rd, Suite 202, Stuart, FL 34994-4512 | 2011-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1669552717 | Gary Joseph Guzzardo | Internal Medicine | 3193 Se Dixie Hwy, Stuart, FL 34997-5072 | 2006-10-16 |
| 1902866213 | Domingo Ngo | Internal Medicine | 823 Se Osceola St, Stuart, FL 34994-2431 | 2006-03-23 |
| 1811986581 | David A Elliott | Internal Medicine | 622 Se Central Pkwy, Stuart, FL 34994-3970 | 2005-10-17 |
| 1194728170 | Dan G. Jacobson | Internal Medicine | 432 Se Osceola St, Stuart, FL 34994-2577 | 2005-05-24 |
| 1972818714 | Domingo Tc Ngo Md Pa | Internal Medicine | 823 Se Osceola St, Stuart, FL 34994-2431 | 2010-08-17 |
| 1184951857 | Dan G. Jacobson, Md, Pa | Internal Medicine | 432 Se Osceola St, Stuart, FL 34994-2577 | 2009-11-17 |
| 1942498548 | Treasure Coast Health Services, Inc. | Internal Medicine | 622 Se Central Pkwy, Stuart, FL 34994-3970 | 2007-10-09 |
| 1033323092 | Erika Madrigal Hoyos | Internal Medicine | 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579 | 2007-05-09 |
| 1346215712 | Amitabh Kumar | Internal Medicine | 1050 Se Monterey Rd, Suite 204, Stuart, FL 34994-4512 | 2006-02-21 |
| 1679548309 | Howard Maunus | Internal Medicine | 1050 Se Monterey Rd, Suite 204, Stuart, FL 34994-4512 | 2006-02-17 |
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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.