Organization Active NPI

Advanced Hand and Plastic Surgery Center LLC

  • Specialist
  • Wesley Chapel, FL
National Provider Identifier
1114055142
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME93069 Issued in FL
Legal business name
ADVANCED HAND AND PLASTIC SURGERY CENTER LLC
Practice address
2318 Greenbranch Dr
Suite 101-102
Wesley Chapel, FL 33544-6797
Phone
(813) 866-4426
Fax
(813) 972-8866
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Scott S Gargasz, MDNPI 1386626380
Title
President
Phone
(813) 866-4426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME93069 FL Primary

Addresses

Primary practice location

2318 Greenbranch Dr
Suite 101-102
Wesley Chapel, FL 33544-6797

Mailing address

PO Box 198551
Atlanta, GA 30384-8551
Phone (813) 866-4426

Other identifiers 1

IdentifierTypeStateIssuer
272754400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050825000142 FL Part B Supplier - Clinic/Group Practice 1355372806 Receives reassigned benefits from 2 practitioners
Practice locations: Wesley Chapel, FL; Tampa, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2318 Greenbranch Dr
Ste 101
Wesley Chapel, FL 33544
Phone (813) 866-4426

2318 Greenbranch Dr
Ste 10102
Wesley Chapel, FL 33544

2318 Greenbranch Dr
Ste 101102
Wesley Chapel, FL 33544
Phone (813) 866-4426

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBBAA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1114055142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198551",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848551",
            "telephone_number": "813-866-4426",
            "fax_number": "813-972-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 GREENBRANCH DR",
            "address_2": "SUITE 101-102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446797",
            "telephone_number": "813-866-4426",
            "fax_number": "813-972-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HAND AND PLASTIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "GARGASZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-866-4426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME93069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272754400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.