GYNDOC, LLC
NPI 1639474505
Obstetrics & Gynecology - Gynecology in Crestview, FL

Active since January 24, 2011
131 E REDSTONE AVE, SUITE 109, CRESTVIEW, FL 32539(850) 683-1100(850) 683-0599 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gyndoc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GYNDOC, LLC (NPI 1639474505) is a healthcare organization registered as a gynecology in Crestview, Florida and active in the NPI registry since January 2011. The organization lists Charles Wayne Mcfatter, President, as its authorized official.

NPPES Registry Identity

NPI1639474505
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameGYNDOC, LLC
Location Address131 E REDSTONE AVE, SUITE 109Crestview, FL 32539-5326
Mailing Address131 E Redstone Ave, Suite 109Crestview, FL 32539-5326 · (850) 683-1100 · Fax (850) 683-0599
Fax(850) 683-0599
Organization SubpartNo
Authorized OfficialCharles Wayne McfatterPresident · (334) 858-2304
Enumeration DateJanuary 24, 2011
Last NPPES UpdateMay 3, 2011
NPI 1639474505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in FL · ME65594
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
131 E REDSTONE AVE, Crestview, FL 32539

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
131 E REDSTONE AVE, SUITE 105
CRESTVIEW, FL 32539
Internal Medicine
131 E REDSTONE AVE, SUITE 101
CRESTVIEW, FL 32539
Internal Medicine (Cardiovascular Disease)
131 E REDSTONE AVE, SUITE 110
CRESTVIEW, FL 32539
Internal Medicine
131 E REDSTONE AVE, SUITE 101
CRESTVIEW, FL 32539
Urology
131 E REDSTONE AVE, SUITE 102
CRESTVIEW, FL 32539
Family Medicine
131 E REDSTONE AVE, SUITE 107
CRESTVIEW, FL 32539
Obstetrics & Gynecology (Gynecology)
131 E REDSTONE AVE, SUITE 108
CRESTVIEW, FL 32539
Nurse Practitioner (Obstetrics & Gynecology)
131 E REDSTONE AVE, SUITE 109
CRESTVIEW, FL 32539

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gyndoc, LLC's NPI number?

The NPI number for Gyndoc, LLC is 1639474505. It was assigned to this organization in the NPPES registry on January 24, 2011.

Where is Gyndoc, LLC located?

Gyndoc, LLC is located at 131 E Redstone Ave Suite 109, Crestview, FL 32539. The listed phone number is (850) 683-1100.

What is Gyndoc, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Gyndoc, LLC was last updated on May 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.