Individual provider Active NPI

Gavin Charles Whapshare, D.O.

  • Family Medicine Physician
  • Venice, FL
National Provider Identifier
1003171901
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS12953 Issued in FL
Practice address
1720 E Venice Ave
1St Floor
Venice, FL 34292-3190
Phone
(941) 483-9700
Fax
(941) 483-9715
NPI assigned
Jul 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116025236 VA
Family Medicine Physician 207Q00000X OS12953 FL Primary

Addresses

Primary practice location

1720 E Venice Ave
1St Floor
Venice, FL 34292-3190

Mailing address

1720 E Venice Ave
1St Floor
Venice, FL 34292-3190
Phone (941) 483-9700

Other identifiers 1

IdentifierTypeStateIssuer
OS12953OtherFLSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gavin.whapshare.1@4692.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807015296 FL Practitioner - Family Practice 0840504585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
Guardian Health LLCGroup PAC ID 1658763909, 5 clinicians

Practice addresses (Care Compare)

1600 Ctr Rd
Apt 227
Venice, FL 34292-3845
Phone (800) 699-9395

300 Tamiami TRL S
Unit 1
Venice, FL 34285-2422
Phone (941) 303-5713

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Venice, FL, CCN 107522
  • Trilogy Home Healthcare Home health agency, Sarasota, FL, CCN 109371
  • Aveanna Home Health Home health agency, Sarasota, FL, CCN 108480
  • Haven Home Health Care Home health agency, Venice, FL, CCN 687116
  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116025236VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Health LLC Family Medicine CurrentSince Jan 15, 2022 Accepting new patients

Locations

300 Tamiami Trl S
Unit 1
Venice, FL 34285
Phone (941) 303-5713

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24269/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gavin.whapshare.1@24269.direct.athenahealth.com
  • Direct secure messaging: gavin.whapshare.1@4692.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1003171901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E VENICE AVE",
            "address_2": "1ST FLOOR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923190",
            "telephone_number": "941-483-9700",
            "fax_number": "941-483-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E VENICE AVE",
            "address_2": "1ST FLOOR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923190",
            "telephone_number": "941-483-9700",
            "fax_number": "941-483-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHAPSHARE",
        "first_name": "GAVIN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-07",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116025236",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS12953",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gavin.whapshare.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1720 E Venice Ave",
            "address_2": "1ST FLOOR",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342923190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.