Active NPI
Robert L R Wesly M D PH D P a
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gainesville, FL
National Provider Identifier
1043407851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME44335
- Legal business name
- ROBERT L R WESLY M D PH D P A
- Practice address
- 2251 NW 41St St
Suite E
Gainesville, FL 32606-7498 - Phone
- (352) 377-6010
- Fax
- (352) 371-0039
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert L Wesly, MD-PHD
- Title
- President/Owner
- Phone
- (352) 377-6010
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME44335 | FL | |
| Surgical Oncology Physician | 2086X0206X | ME44335 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME44335 | FL | Primary |
Addresses
Primary practice location
2251 NW 41St St
Suite E
Gainesville, FL 32606-7498
Mailing address
2251 NW 41St St
Suite E
Gainesville, FL 32606-7498
Phone (352) 377-6010
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060066125 | Other | FL | TRI-CARE |
| 206847 | Other | FL | AVMED |
| 01375 | Other | FL | BC-BS |
| 068801100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2251 NW 41st St
Ste E
Gainesville, FL 32606
Phone (352) 377-6010
2630 NW 41st St
Ste C3
Gainesville, FL 32606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230681600000",
"number": "1043407851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 NW 41ST ST",
"address_2": "SUITE E",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067498",
"telephone_number": "352-377-6010",
"fax_number": "352-371-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 NW 41ST ST",
"address_2": "SUITE E",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326067498",
"telephone_number": "352-377-6010",
"fax_number": "352-371-0039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L R WESLY M D PH D P A",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2008-12-31",
"status": "A",
"authorized_official_last_name": "WESLY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "352-377-6010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD-PHD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME44335",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "FL",
"license": "ME44335",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME44335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "060066125",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "206847",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-BS",
"identifier": "01375",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068801100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.