Active NPI
Janette U. Gaw, MD
- Colon & Rectal Surgery Physician
- Fort Myers, FL
National Provider Identifier
1255327342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME0093273
- Practice address
- 13770 Plantation Rd
Suite 2
Fort Myers, FL 33912-4301 - Phone
- (239) 275-0728
- Fax
- (239) 275-6947
- NPI assigned
- Sep 23, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ME0093273 | FL | Primary |
Addresses
Primary practice location
13770 Plantation Rd
Suite 2
Fort Myers, FL 33912-4301
Mailing address
2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07476 | Other | FL | UNIV. HLTHCR. PROVIDER # |
| 7585707 | Other | FL | AETNA OTHER PROVIDER # |
| ME93273 | Other | FL | METCARE PROVIDER NUMBER |
| 17-02964 | Other | FL | UHC PROVIDER NUMBER |
| P00313874 | Other | FL | RAILROAD MEDICARE # |
| 16080 | Other | FL | BCBS PROVIDER NUMBER |
| 272745500 | Medicaid | FL | |
| 7618345-001 | Other | FL | CIGNA PROVIDER NUMBER |
| 1230905 | Other | FL | WELLCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0093273 | FL | MD | Colon & Rectal Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1255327342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13770 PLANTATION RD",
"address_2": "SUITE 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124301",
"telephone_number": "239-275-0728",
"fax_number": "239-275-6947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAW",
"first_name": "JANETTE",
"middle_name": "U.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "FL",
"license": "ME0093273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIV. HLTHCR. PROVIDER #",
"identifier": "07476",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA OTHER PROVIDER #",
"identifier": "7585707",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METCARE PROVIDER NUMBER",
"identifier": "ME93273",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PROVIDER NUMBER",
"identifier": "17-02964",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "P00313874",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "16080",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272745500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "7618345-001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1230905",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.