Individual provider Active NPI

Dale Frank Syfert, MD

  • Addiction Medicine (Family Medicine) Physician
  • Gainesville, FL
National Provider Identifier
1164495057
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
ME0023253 Issued in FL
Practice address
4300 SW 13TH St
Gainesville, FL 32608
Phone
(352) 374-5600
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X ME0023253 FL
Addiction Medicine (Family Medicine) Physician 207QA0401X ME0023253 FL Primary
Family Medicine Physician 207Q00000X ME 0023253 FL
Emergency Medicine Physician 207P00000X ME 0023253 FL

Addresses

Primary practice location

4300 SW 13TH St
Gainesville, FL 32608

Mailing address

2616 NW 25TH PL
Gainesville, FL 32605-2826
Phone (352) 375-0240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000420 FL Practitioner - Addiction MedicinePractitioner - Emergency Medicine 4981694486 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 0023253FLMDFamily Medicine Physician
ME0023253FLMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Healthcare, Inc of Lake City CurrentSince Feb 2, 2018 Accepting new patients
Nes of Northern Florida Inc Emergency Medicine Past Accepting new patients
Gainesville Emergency Medical Associates PA Emergency Medicine Past Accepting new patients
Nes of Florida Inc Emergency Medicine Past Accepting new patients
Nes of Florida Inc Emergency Medicine Past Accepting new patients

Locations

4300 SW 13th St
Gainesville, FL 32608

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1164495057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 NW 25TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052826",
            "telephone_number": "352-375-0240",
            "fax_number": "352-376-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-374-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYFERT",
        "first_name": "DALE",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME0023253",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME0023253",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 0023253",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 0023253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.