GUSTAVO MEDINA (NPI# 1932134020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932134020 |
| Entity Type | Individual |
| Full Name | GUSTAVO MEDINA |
| Credential | M.D. |
| Practice Address |
130 Moorings Park Dr Naples FL 34105-2122 |
| Mailing Address |
1776 Woodstead Ct Ste 208 The Woodlands TX 77380-1480 |
| Practice Telephone | 8777497428 |
| Practice Fax Number | 5126283314 |
| Mailing Telephone | 8777497428 |
| Mailing Fax Number | 5126283314 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | ME92091 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GROUP NO. | 28517 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 270 Tamiami Trl N, Naples, FL 341025832 | 2392610926 | 2392610927 |
| 3501 Health Center Blvd Ste 2400, Estero, FL 341358131 | 8777497428 | 5126283314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649394784 | Gustavo Medina | Counselor | 5100 Atlanta Way, Sacramento, CA 95841-2206 | 2007-03-16 |
| Street Address |
130 MOORINGS PARK DR |
| City | NAPLES |
| State | FL |
| Zip Code | 34105-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518391374 | Max-wellness, LLC | Durable Medical Equipment & Medical Supplies | 130 Moorings Park Dr, Naples, FL 34105-2122 | 2013-08-29 |
| 1770646978 | The Moorings Incorporated | Skilled Nursing Facility | 130 Moorings Park Dr, Naples, FL 34105-2122 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593647 | Derek Paul Wimmer | Physician Assistant | 1410 Mariposa Circle #105, Naples, FL 34105 | 2012-10-24 |
| 1851522007 | Excel Physical Therapy of Naples, Inc. | Physical Therapist | 13020 Livingston Rd., Suite #9, Naples, FL 34105 | 2009-08-06 |
| 1902057235 | Dewayne Lockhart Jr. | Anesthesiology | 3555 Kraft Rd Suite 120, Naples, FL 34105 | 2008-10-06 |
| 1578789830 | John Urban Peters | Family Medicine | 4745 Europa Dr, Naples, FL 34105 | 2007-04-17 |
| 1386799534 | Suncoast Dental Center | Dentist | 13040 Livingston Rd Suite 3, Naples, FL 34105 | 2007-01-25 |
| 1326198862 | Amanda Weaver | Specialist/Technologist | 1220 Reserve Way, #306, Naples, FL 34105 | 2007-01-10 |
| 1093813669 | Jeffrey Michael Rosenfield | Emergency Medicine | 13030 Livingston Road, Suite 3, Naples, FL 34105 | 2006-09-20 |
| 1871916486 | Anik Lauzon | Physical Therapist | 13020 Livingston Rd, #9, Naples, FL 34105 | 2014-02-03 |
| 1578581773 | Mark Goldstein | Internal Medicine | 132 Moorings Park Dr, Naples, FL 34105 | 2006-07-17 |
| 1851454094 | Moorings Park Community Health | Clinic/Center | 111 Moorings Park Dr, Naples, FL 34105-2118 | 2006-12-19 |
| Find all providers in zip 34105 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770823304 | Oncology and Orthopedic Physical Therapy, LLC | Physical Medicine & Rehabilitation | 7700 Trail Blvd, Suite 107, Naples, FL 34108-2856 | 2013-02-19 |
| 1396973764 | Timothy Douglas Bundy | Physical Medicine & Rehabilitation | 1310 Park Lake Dr, Naples, FL 34110-1064 | 2009-06-24 |
| 1043304066 | Eduardo F Figueroa | Physical Medicine & Rehabilitation | 3785 Airport Pulling Rd, Suite A Eduardo F Figueroa, Naples, FL 34105-4518 | 2006-10-03 |
| 1467564732 | David A Pitts | Physical Medicine & Rehabilitation | 11190 Healthpark Blvd N, Naples, FL 34110 | 2006-08-31 |
| 1407881576 | Colin Lee Kanar | Physical Medicine & Rehabilitation | 11983 Tamiami Trl N, Suite 100d, Naples, FL 34110-1603 | 2006-07-11 |
| 1184680084 | Luga Podesta | Physical Medicine & Rehabilitation | 1201 Piper Blvd Suite 24, Naples, FL 34110 | 2006-04-21 |
| 1982179222 | Naples Rehabilitative Services LLC | Physical Medicine & Rehabilitation | 406 Vineyards Blvd, Naples, FL 34119-4701 | 2018-10-12 |
| 1982012134 | Complete Medical Spinal Rehab Inc | Physical Medicine & Rehabilitation | 12975 Collier Blvd Ste 107, Naples, FL 34116-4004 | 2014-07-31 |
| 1659782910 | Haroon Andar | Physical Medicine & Rehabilitation | 1285 Creekside Blvd E Unit 102, Naples, FL 34109-0595 | 2014-05-08 |
| 1851635775 | Lauren Marie Blackburn | Physical Medicine & Rehabilitation | 9051 Tamiami Trl N, Suite 104, Naples, FL 34108-2596 | 2012-11-15 |
| Find all providers in NAPLES | ||||
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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.