NPIMap

Organization Active NPI

Shands Teaching Hospital and Clinics Inc

Doing business as UF Health Medical Specialties Davis Cancer Pavilion

  • Medical Specialty Clinic/Center
  • Gainesville, FL
National Provider Identifier
1083403661
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SHANDS TEACHING HOSPITAL AND CLINICS INC
Doing business as
UF Health Medical Specialties Davis Cancer Pavilion
Practice address
1535 Gale Lemerand Dr 3Rd Floor
Uf Health Medical Specialties Davis Cancer Pavilion
Gainesville, FL 32610-3008
Phone
(352) 273-9400
Fax
(352) 627-4268
NPI assigned
May 1, 2025
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SHANDS TEACHING HOSPITAL AND CLINICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Michael D. Holmes
Title
Ceo
Phone
(352) 733-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

1535 Gale Lemerand Dr 3Rd Floor
Uf Health Medical Specialties Davis Cancer Pavilion
Gainesville, FL 32610-3008

Mailing address

PO Box 100303
Gainesville, FL 32610-0303

Other names 1

  • UF Health Medical Specialties Davis Cancer Pavilion Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080612000626 FL Part A Provider - Hospital 2163336504 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083403661. Details of each certification follow.

Hospital certification: CCN 100113

Legal name
SHANDS TEACHING HOSPITAL AND CLINICS INC
Doing business as
UF HEALTH SHANDS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1980
Last certification
Sep 12, 2015
Beds
1,054
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 15, 1979 in FL
Enrollment address
1600 SW Archer Rd
Uf Health Shands Hospital
Gainesville, FL 32610-3003
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric, Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Uf Health Shands HospitalCCN 100113 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Shands at Starke ER Phy34 organizations share this tax ID, including this one
Part of
Shands at Starke ER Phy

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

1535 Gale Lemerand Dr
Fl 3
Gainesville, FL 32610
Phone (352) 265-0140

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kent Fuchs Individual Corporate DirectorVoluntary Board Member Sep 26, 2024
Shands Teaching Hospital and Clinics Inc Organization, Gainesville, FL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2008 100%
Lawrence McDowell Individual W-2 Managing Employee Oct 13, 2025
David Mann Individual Corporate DirectorVoluntary Board Member Sep 26, 2024
Marsha Powers Individual Corporate DirectorVoluntary Board Member Jan 1, 2019
Ryan Fuller Individual Corporate DirectorVoluntary Board Member Dec 13, 2024
Stephen Joel Motew Individual Corporate DirectorVoluntary Board Member Mar 31, 2024
Cindy Charyulu-D'Orra Individual Operational/Managerial Control Aug 22, 2025
Todd Neville Individual Corporate DirectorVoluntary Board Member Sep 17, 2023
Gregory Lewis Individual Corporate DirectorVoluntary Board Member Jan 1, 2020
Robert Stilley Individual Corporate DirectorVoluntary Board Member Sep 26, 2024
Eric Peburn Individual Contracted Managing Employee Aug 16, 2025
Corporate OfficerCfo & Treasurer Aug 16, 2025
Michael Holmes Individual Corporate OfficerPresident/Ceo Mar 17, 2025
W-2 Managing Employee Mar 17, 2025
Edmund Hunter Beebe Individual Corporate DirectorVoluntary Board Member Sep 26, 2024
Jennifer Hunt Individual Corporate DirectorVoluntary Board Member Jan 2, 2024

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

Practitioners & affiliated clinicians

Affiliated clinicians 1,836

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,836

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1083403661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100303",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GALE LEMERAND DR 3RD FLOOR",
            "address_2": "UF HEALTH MEDICAL SPECIALTIES DAVIS CANCER PAVILION",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103008",
            "telephone_number": "352-273-9400",
            "fax_number": "352-627-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANDS TEACHING HOSPITAL AND CLINICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHANDS TEACHING HOSPITAL AND CLINICS, INC.",
        "enumeration_date": "2025-05-01",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-733-1500"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UF Health Medical Specialties Davis Cancer Pavilion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UF Health Medical Specialties Davis Cancer Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.