Active NPI
Gerald Douglas Testerman Jr., PA
- Medical Physician Assistant
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9102238
- Practice address
- 5824 Bee Ridge Rd
#446
Sarasota, FL 34233-5065 - Phone
- (941) 400-1901
- Fax
- (941) 379-8219
- NPI assigned
- May 12, 2006
- Last updated
- Oct 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9102238 | FL | Primary |
Addresses
Primary practice location
5824 Bee Ridge Rd
#446
Sarasota, FL 34233-5065
Mailing address
5824 Bee Ridge Rd
#446
Sarasota, FL 34233-5065
Phone (941) 400-1901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9102238 | Other | FL | STATE PA LICENSE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1350 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2030
1700 S Tamiami Trail
Sarasota, FL 34239-3509
Phone (321) 806-9222
5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (321) 806-9222
700 Medical Blvd
Englewood, FL 34223-3964
Phone (321) 806-9222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Surgical Assistants LLC | Current | Accepting new patients | |
| Kennedy White & Riggs Orthopedic Associates | Past | Accepting new patients | |
| Kennedy White & Riggs Orthopedic Associates | Past | Accepting new patients | |
| Suncoast Orthopaedic Surgery & Sports Medicine, P.a. | Past | Accepting new patients |
Locations
5824 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 377-7622
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Physician Assistant
- Sarasota, FL
- NPI 1043525546
-
- Surgical Physician Assistant
- Sarasota, FL
- NPI 1568793255
-
dba Kennedy-White Orthopaedic Center
- Durable Medical Equipment & Medical Supplies
- Sarasota, FL
- NPI 1053477687
-
dba Kennedy-White Orthopaedic Center
- Durable Medical Equipment & Medical Supplies
- Sarasota, FL
- NPI 1093007544
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Venice, FL
- NPI 1982638730
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Englewood Hospital
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
-
dba HCA Florida Sarasota Doctors Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1215988746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5824 BEE RIDGE RD",
"address_2": "#446",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342335065",
"telephone_number": "941-400-1901",
"fax_number": "941-379-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5824 BEE RIDGE RD",
"address_2": "#446",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342335065",
"telephone_number": "941-400-1901",
"fax_number": "941-379-8219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESTERMAN",
"first_name": "GERALD",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9102238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PA LICENSE",
"identifier": "PA9102238",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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- Alec Andrew Tessler, PT, DPT
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- Samantha Tetlak, DMD
- The Alternative
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- The Center for Neurocare
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.