Active NPI
Gessler Clinic Professional Association
- Internal Medicine Physician
- Winter Haven, FL
National Provider Identifier
1154399533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GESSLER CLINIC PROFESSIONAL ASSOCIATION
- Practice address
- 635 1St St N
Winter Haven, FL 33881-4129 - Phone
- (863) 294-0670
- Fax
- (863) 298-3200
- NPI assigned
- Mar 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon H Hart, CPA CMPE
- Title
- Administrator/Authorized Official
- Phone
- (863) 294-0670
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FL | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | FL | ||
| Internal Medicine Physician | 207R00000X | FL | Primary | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | FL | ||
| Cardiovascular Disease Physician | 207RC0000X | FL | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | FL | ||
| Gastroenterology Physician | 207RG0100X | FL | ||
| Infectious Disease Physician | 207RI0200X | FL | ||
| Pulmonary Disease Physician | 207RP1001X | FL | ||
| Rheumatology Physician | 207RR0500X | FL | ||
| Medical Oncology Physician | 207RX0202X | FL | ||
| Obstetrics & Gynecology Physician | 207V00000X | FL | ||
| Orthopaedic Surgery Physician | 207X00000X | FL | ||
| Otolaryngology Physician | 207Y00000X | FL | ||
| Pediatrics Physician | 208000000X | FL |
Addresses
Primary practice location
635 1St St N
Winter Haven, FL 33881-4129
Mailing address
635 1St St N
Winter Haven, FL 33881-4129
Phone (863) 294-0670
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202072600 | Medicaid | FL | |
| C10423 | Other | FL | MEDICARE ID / RRM GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040331000760 | FL | Part B Supplier - Clinic/Group Practice | 3476545484 |
Receives reassigned benefits from 35 practitioners Practice locations: Winter Haven, FL |
National Provider Directory
National Provider DirectoryLocations
101 Avenue D NW
Winter Haven, FL 33881
Phone (863) 294-3526
440 E Central Ave
Winter Haven, FL 33880
Phone (863) 294-0670
585 Avenue K SE
Winter Haven, FL 33880
Phone (863) 294-0670
105 Avenue D NW
Winter Haven, FL 33881
Phone (863) 294-0670
Practitioners & affiliated clinicians
Practitioners 58
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Trinity, FL
- NPI 1144410952
FL, Orthopaedic Surgery
-
- Endocrinology, Diabetes & Metabolism Physician
- Winter Garden, FL
- NPI 1598078115
Family Medicine, FL
-
- Family Medicine Physician
- Winter Haven, FL
- NPI 1891704581
Family Medicine, FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381881600000",
"number": "1154399533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 1ST ST N",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814129",
"telephone_number": "863-294-0670",
"fax_number": "863-298-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 1ST ST N",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814129",
"telephone_number": "863-294-0670",
"fax_number": "863-298-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GESSLER CLINIC PROFESSIONAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2013-10-16",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "ADMINISTRATOR/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "863-294-0670",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPA CMPE"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "207RA0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202072600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID / RRM GROUP",
"identifier": "C10423",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.