Active NPI
Gaines Plastic Surgery PLLC
- Plastic Surgery Physician
- Gainesville, FL
National Provider Identifier
1053688515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME76402
- Legal business name
- GAINES PLASTIC SURGERY PLLC
- Practice address
- 108 NW 76TH Dr
Suite a
Gainesville, FL 32607-6652 - Phone
- (352) 333-9600
- Fax
- (352) 333-9606
- NPI assigned
- Nov 28, 2011
- 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. Gregory C. Gaines, MD, FACS
- Title
- Owner
- Phone
- (352) 333-9600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME76402 | FL | Primary |
| Surgery Physician | 208600000X | ME76402 | FL |
Addresses
Primary practice location
108 NW 76TH Dr
Suite a
Gainesville, FL 32607-6652
Mailing address
108 NW 76TH Dr
Suite a
Gainesville, FL 32607-6652
Phone (352) 333-9600
National Provider Directory
National Provider DirectoryLocations
217 NW 76th Dr
Gainesville, FL 32607
108 NW 76th Dr
Ste B
Gainesville, FL 32607
Phone (352) 332-1300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479340800000",
"number": "1053688515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 NW 76TH DR",
"address_2": "SUITE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326076652",
"telephone_number": "352-333-9600",
"fax_number": "352-333-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 NW 76TH DR",
"address_2": "SUITE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326076652",
"telephone_number": "352-333-9600",
"fax_number": "352-333-9606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAINES PLASTIC SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-28",
"last_updated": "2016-11-17",
"status": "A",
"authorized_official_last_name": "GAINES",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-333-9600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, FACS"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME76402",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "ME76402",
"primary": false
}
],
"identifiers": [],
"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 Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.