Mary Jean Gossman, MPAS, PA-C

Key facts

NPI

1225083082

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

PA1809 (FL)

Practice address

105 NW Santa Fe Blvd
High Springs Medical Center
High Springs, FL 32655

Phone

(386) 454-7746

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• City Circle ER SVCS Partnership LLC Emergency Medicine Physician · Sebring, FL · NPI 1144279357
  NPD (past)
• Family Medical Group PA Family Medicine Physician · Lake Placid, FL · NPI 1215099007
  NPD (past)
• Sebring Hospital Management Associates LLC General Acute Care Hospital · Sebring, FL · NPI 1952344772
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2012.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1225083082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18808 NW 72ND AVE",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326157599",
            "telephone_number": "386-418-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NW SANTA FE BLVD",
            "address_2": "HIGH SPRINGS MEDICAL CENTER",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "32655",
            "telephone_number": "386-454-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSMAN",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA1809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PRESCRIBING #",
            "identifier": "00000340",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290008400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE #",
            "identifier": "PA1809",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jo-Anne Gammon, ARNP
• Christine Glaser, LCSW
• Megan Ann Goldammer
• Daniel Goldberg, PHARMD
• Marita Guilderson, LMT
• Amanda L Hall, PHARMD
• Shawn a Hall
• Kellene A Harknett, L.M.T.
• Angeli E Harris, APRN

All providers in High Springs, FL · Physician Assistant in Florida