DR. GREGORY T FOSSUM (NPI# 1982623658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982623658 |
| Entity Type | Individual |
| Full Name | DR. GREGORY T FOSSUM |
| Credential | M.D. |
| Practice Address |
8900 N Kendall Dr Miami FL 33176-2118 |
| Mailing Address |
400 Randy Ln Fort Myers Beach FL 33931-4014 |
| Practice Telephone | 7865961960 |
| Mailing Telephone | 2154298358 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
MD046162L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001272293 | 05 | |
| NJ | 7608209 | 05 | |
| FL | FLORIDA STATE MEDICAL LICENSE | ME121321 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 833 Chestnut Street, 1st Floor, Philadelphia, PA 191074420 | 2159555000 | 2159231089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851304034 | Gregory S. Fossum | Dentist | 9301 S Padre Island Dr, Corpus Christi, TX 78418-5505 | 2006-08-15 |
| Street Address |
8900 N KENDALL DR |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068715 | Marlene Patricia Carbonell | Specialist | 8900 N Kendall Dr, Radiology Associates of South Florida, Miami, FL 33176 | 2005-07-28 |
| 1982204541 | Jessica Ann Vasquez | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-31 |
| 1285233833 | Maria Eloisa Eleuterio Ortega | Registered Nurse | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-23 |
| 1033717814 | Apryl Alexandra Sharon Thomas | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-13 |
| 1952914756 | Arati Panda | Nurse Anesthetist, Certified Registered | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-08-31 |
| 1033720339 | Jessica Angela Pappanikou | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-08-11 |
| 1679181432 | Kiran Gangwani | Genetic Counselor, MS | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-07-17 |
| 1831707694 | Alejandra Margarita Cantu Villarreal | Genetic Counselor, MS | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-07-17 |
| 1679196695 | Leosvel Fraga | Anesthesiologist Assistant | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-05-26 |
| 1235751843 | Jon Aksu | Counselor | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215363064 | Vmd Rei, LLC | Obstetrics & Gynecology | 3225 Aviation Ave, Suite 700, Miami, FL 33133-4741 | 2013-09-24 |
| 1669651998 | Joelle Elyse Taylor | Obstetrics & Gynecology | 8950 N Kendall Dr, Suite 103, Miami, FL 33176-2144 | 2007-11-03 |
| 1548284847 | Arthur G Shapiro | Obstetrics & Gynecology | 1400 Nw 12th Ave, Suite #5, Miami, FL 33136-1003 | 2006-07-27 |
| 1508819558 | Abraham Halfen | Obstetrics & Gynecology | 8950 N Kendall Dr, Suite 103, Miami, FL 33176-2144 | 2006-05-19 |
| 1366400467 | Michael Harris Jacobs | Obstetrics & Gynecology | 8950 N Kendall Dr, Suite 103, Miami, FL 33176-2144 | 2006-05-01 |
| 1386601003 | Fernando Marcelo Akerman | Obstetrics & Gynecology | 8950 N Kendall Dr, Suite 103, Miami, FL 33176-2144 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013410497 | Sgf Tampa Bay LLC | Obstetrics & Gynecology | 5016 West Cypress Street, Suite 301, Tampa, FL 33609-3804 | 2018-03-13 |
| 1295126779 | Mark S. Denker M.d. Pa Inc. | Obstetrics & Gynecology | 7015 Beracasa Way Ste 201, Ste # 201, Boca Raton, FL 33433-3453 | 2015-02-05 |
| 1144644634 | Moshe R. Peress | Obstetrics & Gynecology | 875 Meadows Rd Ste 334, Boca Raton, FL 33486-2349 | 2014-02-05 |
| 1114244803 | Juan Pablo Alvarez | Obstetrics & Gynecology | 4425 Ponce De Leon Blvd Ste 110, Coral Gables, FL 33146-1842 | 2010-04-21 |
| 1003059825 | George Patounakis | Obstetrics & Gynecology | 400 Colonial Center Pkwy, Suite 150, Lake Mary, FL 32746-7682 | 2009-04-08 |
| 1104004688 | Fernando L Gomez Md Pa | Obstetrics & Gynecology | 258 South Chickasaw Trail, Suite 310, Orlando, FL 32825-8232 | 2008-02-06 |
| 1578764742 | Martin Mark Quigley | Obstetrics & Gynecology | 1056 Paseo Del Rio Ne, Saint Petersburg, FL 33702-1457 | 2007-05-29 |
| 1386851350 | Anthony Nosa Imudia | Obstetrics & Gynecology | 2324 Cypress Cv, Wesley Chapel, FL 33544-6787 | 2007-05-17 |
| 1588749618 | Southwest Florida Fertility Center Pa | Obstetrics & Gynecology | 15730 New Hampshire Ct, Suite 101, Fort Myers, FL 33908 | 2006-10-26 |
| 1497848626 | Milton Mcnichol | Obstetrics & Gynecology | 1000 N Maitland Ave, Maitland, FL 32751-8406 | 2006-10-02 |
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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.