Individual provider Active NPI

Gerald Douglas Testerman Jr., PA

  • Medical Physician Assistant
  • Sarasota, FL
National Provider Identifier
1215988746
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102238 Issued in FL
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PA9102238OtherFLSTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060804000254 FL Practitioner - Physician Assistant 1850394156 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Suncoast Surgical Assistants LLC Current Accepting new patients
Kennedy White & Riggs Orthopedic Associates PastSince Jan 1, 1990 Accepting new patients
Kennedy White & Riggs Orthopedic Associates PastSince Jan 1, 1990 Accepting new patients
Suncoast Orthopaedic Surgery & Sports Medicine, P.a. PastSince Nov 18, 2009 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.