Active NPI
William W Gezzar, MD
- Anesthesiology Physician
- Ft Myers, FL
National Provider Identifier
1073503561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME0045799
- Practice address
- 4048 Evans Ave
Suite 303
Ft Myers, FL 33901-9322 - Phone
- (239) 332-5344
- Fax
- (239) 332-7246
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME0045799 | FL | Primary |
Addresses
Primary practice location
4048 Evans Ave
Suite 303
Ft Myers, FL 33901-9322
Mailing address
4048 Evans Ave
Suite 303
Ft Myers, FL 33901-9322
Phone (239) 332-5344
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 667007 | Other | FL | AETNA |
| 36408Z | Other | FL | MCR |
| 36408 | Other | FL | BSFL |
| 0867335 | Other | FL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0045799 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Sassi PA | Past | Accepting new patients |
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.
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1619305067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1073503561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "SUITE 303",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339019322",
"telephone_number": "239-332-5344",
"fax_number": "239-332-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 EVANS AVE",
"address_2": "SUITE 303",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339019322",
"telephone_number": "239-332-5344",
"fax_number": "239-332-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEZZAR",
"first_name": "WILLIAM",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME0045799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "667007",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCR",
"identifier": "36408Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSFL",
"identifier": "36408",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0867335",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.