Organization Active NPI

Gaines Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Gainesville, FL
National Provider Identifier
1053688515
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME76402 Issued in FL
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

Updated by the provider on Nov 17, 2016

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X ME76402 FL Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.