Individual provider Active NPI

Gerald Anthony Mastaw Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Land O Lakes, FL
National Provider Identifier
1316993454
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME 108549 Issued in FL
Practice address
16703 Early Riser Ave
Land O Lakes, FL 34638-0192
Phone
(844) 387-2476
Fax
(844) 387-2476
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301076665 MI
Pain Medicine (Anesthesiology) Physician 207LP2900X MD38433 AL
Anesthesiology Physician 207L00000X 200400382 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X ME 108549 FL Primary

Addresses

Primary practice location

16703 Early Riser Ave
Land O Lakes, FL 34638-0192

Mailing address

10528 Parkers Landing Dr
Tampa, FL 33615-5804
Phone (734) 389-5832

Other practice location 1

424 Church St Ste 2000
Nashville, TN 37219-3304
Phone (844) 387-2476

Other practice location 2

3999 Commons Dr W Ste B
Destin, FL 32541-8446
Phone (844) 387-2476

Other practice location 3

2911 Turtle Creek Blvd Ste 925
Dallas, TX 75219-6292
Phone (844) 387-2476

Other practice location 4

9001 Estate Thomas Suite 102
Charlotte Amalie VI, VI 00802
Phone (844) 387-2476

Other practice location 5

400 Renaissance Ctr
Detroit, MI 48243-1502
Phone (844) 387-2476

Other practice location 6

3030 N Rocky Point Dr W Ste 665
Tampa, FL 33607-5906
Phone (844) 387-2476

Other practice location 7

5547 Veterans Pkwy Fl 12
Columbus, GA 31904-4484
Phone (844) 387-2476

Other practice location 8

312 S 4th St Ste 700
Louisville, KY 40202-3046
Phone (844) 387-2476

Other practice location 9

2411 N Oak St Ste 200
Myrtle Beach, SC 29577-3164
Phone (844) 387-2476

Other practice location 10

1320 Main St Ste 300
Columbia, SC 29201-3266
Phone (844) 387-2476

Other practice location 11

400 W Capitol Ave Ste 1700
Little Rock, AR 72201-3438
Phone (844) 387-2476

Other practice location 12

654 Ave Luis Munoz Rivera Ste 600
San Juan, PR 00918-4123
Phone (844) 387-2476

Other practice location 13

7027 Old Madison Pike NW
Huntsville, AL 35806-2368
Phone (844) 387-2476

Other practice location 14

5011 Gate Pkwy Bldg 100
Jacksonville, FL 32256-0830
Phone (844) 387-2476

Other practice location 15

321 S Boston Ave Ste 300
Tulsa, OK 74103-3311
Phone (844) 387-2476

Other practice location 16

1001 SW C Ave Ste 300
Lawton, OK 73501-4323
Phone (844) 387-2476

Other practice location 17

233 N Houston Rd Ste 140
Warner Robins, GA 31093-3074
Phone (844) 387-2476

Other practice location 18

Metro Office Park # 2
Guaynabo, PR 00968-1704
Phone (844) 387-2476

Other practice location 19

495 Grand Blvd Ste 206
Miramar Beach, FL 32550-1897
Phone (734) 389-5832

Other practice location 20

8909 University Pkwy Suite a
Pensacola, FL 32514
Phone (844) 387-2476

Other practice location 21

11911 N Dale Mabry Hwy
Tampa, FL 33618-3507
Phone (844) 387-2476

Other practice location 22

4413 US Highway 331 S
Defuniak Springs, FL 32435-6307
Phone (844) 387-2476

Other practice location 23

3340 Peachtree Rd NE Ste 1800
Atlanta, GA 30326-1064
Phone (844) 387-2476

Other practice location 24

995 Mar Walt Dr
Fort Walton Beach, FL 32547-6758
Phone (844) 387-2476

Other practice location 25

2333 W Hillsborough Ave Ste 120
Tampa, FL 33603-1059
Phone (844) 387-2476

Other practice location 26

6320 Venture Dr Ste 201
Lakewood Ranch, FL 34202-5132
Phone (844) 387-2476

Other practice location 27

2700 Corporate Dr
Birmingham, AL 35242-2732
Phone (844) 387-2476

Other practice location 28

604 Robin Rd Ste 1
Lakeland, FL 33803-4837
Phone (844) 387-2476

Other practice location 29

311 SE 29th Pl
Ocala, FL 34471-0487
Phone (844) 387-2476

Other practice location 30

3760 NW 83rd St Ste 3
Gainesville, FL 32606-6020
Phone (844) 387-2476

Other practice location 31

12202 Cortez Blvd
Brooksville, FL 34613-2630
Phone (844) 387-2476

Other practice location 32

125 S Congress St Ste 1325
Jackson, MS 39201-3301
Phone (844) 387-2476

Other practice location 33

1000 Belcher Rd S Ste A6
Largo, FL 33771-3321
Phone (844) 387-2476

Other practice location 34

2202 N West Shore Blvd Ste 200
Tampa, FL 33607-5749
Phone (844) 387-2476

Other practice location 35

701 Brickell Ave Ste 1550
Miami, FL 33131-2824
Phone (844) 387-2476

Other practice location 36

7408 Lake Worth Rd Ste 900
Lake Worth, FL 33467-2502
Phone (844) 387-2476

Other names 1

  • Jerry Mastaw Other name

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
I20110808000810 FL Practitioner - Pain Management 2567400112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Michigan Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Surgery Consultants, LLCGroup PAC ID 7618240110, 5 clinicians

Practice addresses (Care Compare)

3997 Commons Dr
Suite M
Destin, FL 32541-8444

3997 Commons Dr W
Suite M
Destin, FL 32541-8444

3997 Commons W Dr M
Destin, FL 32541-8444
Phone (850) 424-3769

6230 Venture Dr
Suite 201
Bradenton, FL 34202
Phone (727) 784-8600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400382NCMDAnesthesiology Physician
MD38433ALMDPain Medicine (Anesthesiology) Physician
ME 108549FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Corps Diagnostics LLC Pain Medicine Current Accepting new patients
Florida Surgery Consultants, LLC CurrentSince Jun 16, 2025 Accepting new patients
Anesthesia Inc CurrentSince Apr 22, 2024 Accepting new patients
Onslow Anesthesia Associates, PA Anesthesiology Past Accepting new patients
V.P. Nagarajan, M.D. Past Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
Anesthesia and Pain Management Anesthesiology Past Accepting new patients

Locations

3997 Commons Dr W
Ste M
Destin, FL 32541
Phone (850) 424-3769

3760 NW 83rd St
Ste 3
Gainesville, FL 32606
Phone (352) 332-7332

604 Robin Rd
Ste 1
Lakeland, FL 33803
Phone (727) 784-8600

6320 Venture Dr
Ste 201
Lakewood Ranch, FL 34202

495 Grand Blvd
Ste 206
Miramar Beach, FL 32550
Phone (850) 867-4950

311 SE 29th Pl
Ocala, FL 34471
Phone (352) 369-1411

12202 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 592-7779

3030 N Rocky Point Dr W
Ste 665
Tampa, FL 33607
Phone (727) 784-8600

Interoperability endpoints

  • Direct secure messaging: gerald.mastaw.1@24700.direct.athenahealth.com
  • Direct secure messaging: jerry.mastaw@25253881.chartlogic.direct-ci.com

Organizations & group practices 7

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.

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    "enumeration_type": "NPI-1",
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            "address_type": "DOM"
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        {
            "address_1": "8909 UNIVERSITY PKWY SUITE A",
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            "city": "Pensacola",
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            "postal_code": "32514",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
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            "address_1": "11911 N Dale Mabry Hwy",
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            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
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            "address_type": "DOM"
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            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
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            "address_type": "DOM"
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            "country_code": "US",
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            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "state": "FL",
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            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "address_1": "2700 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352422732",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Robin Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034837",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 SE 29th Pl",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710487",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "address_1": "3760 NW 83rd St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326066020",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12202 Cortez Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346132630",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 S Congress St Ste 1325",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392013301",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Belcher Rd S Ste A6",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337713321",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2202 N West Shore Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336075749",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Brickell Ave Ste 1550",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331312824",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7408 Lake Worth Rd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334672502",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTAW",
        "first_name": "GERALD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301076665",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "MD38433",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200400382",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME 108549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "MASTAW",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Land O Lakes, FL

Sources for this page

Verify at the official NPI Registry.