GULF COAST HMA PHYSICIAN MANAGEMENT LLC – NPI #1811569353
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

GULF COAST HMA PHYSICIAN MANAGEMENT LLC is a provider located in VENICE, FL. NPPES has assigned the NPI number 1811569353 to GULF COAST HMA PHYSICIAN MANAGEMENT LLC on July 14, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Mar 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GULF COAST HMA PHYSICIAN MANAGEMENT LLC below.

NPI Profile for
GULF COAST HMA PHYSICIAN MANAGEMENT LLC

NPI Number
1811569353
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Doing Business As (dba): GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Other name(s)
All associated names:
Doing Business As (dba)
GULF COAST HMA PHYSICIAN MANAGEMENT LLC
Doing Business As (dba)
Restore Medical Partners LLC
Primary location
333 TAMIAMI TRL S STE 101
VENICE, FL 34285-2425
Phone: (941) 483-7651 Fax: (941) 483-7699
Mailing address
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone: (615) 465-7211 Fax: (615) 628-6877
Organization Subpart
No
Authorized Official
JENNIFER JACKSON
SR DIR PROV ENROLLMENT & ONBOARDING
Phone: (615) 465-3334
Updated
Certification Date
Mar 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GULF COAST HMA PHYSICIAN MANAGEMENT LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL277033424
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.