Organization Active NPI

Gainesville Medical Centers

  • Emergency Medicine Physician
  • Gainesville, FL
National Provider Identifier
1124432471
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME88567 Issued in FL
Legal business name
GAINESVILLE MEDICAL CENTERS
Practice address
805 NW 13TH St
Gainesville, FL 32601-2904
Phone
(352) 505-9355
Fax
(800) 847-7203
NPI assigned
Jun 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Shailesh Kothari, DCNPI 1346489200
Title
Ceo
Phone
(352) 505-9355

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
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X ME88567 FL Primary

Addresses

Primary practice location

805 NW 13TH St
Gainesville, FL 32601-2904

Mailing address

805 NW 13TH St
Gainesville, FL 32601-2904
Phone (352) 505-9355

Other names 1

  • Gainesville Medical Centers of Georgia Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1402790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1124432471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326012904",
            "telephone_number": "352-505-9355",
            "fax_number": "800-847-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 NW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326012904",
            "telephone_number": "352-505-9355",
            "fax_number": "800-847-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-15",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-505-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME88567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gainesville Medical Centers of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 27, 2015; 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.