Individual provider Active NPI

Byron Charles Gaarder, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1326407867
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109296 Issued in FL
Practice address
13685 Doctors Way Ste 350
Fort Myers, FL 33912-4347
Phone
(239) 343-3800
Fax
(239) 343-3993
NPI assigned
Feb 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9109296 FL
Physician Assistant 363A00000X PA9109296 FL Primary

Addresses

Primary practice location

13685 Doctors Way Ste 350
Fort Myers, FL 33912-4347

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3800

Other practice location 1

12700 Creekside Ln Ste 301
Fort Myers, FL 33919-3356
Phone (239) 343-3800

Other identifiers 1

IdentifierTypeStateIssuer
119971700MedicaidFL

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
I20160404001458 FL Practitioner - Physician Assistant 2567769664 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

13685 Doctors Way
Fort Myers, FL 33912-4347

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109296FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Nov 13, 2023 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Mar 7, 2016 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Mar 7, 2016 Accepting new patients
Lee Memorial Health System CurrentSince Nov 13, 2023 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Neuroscience and Spine Associates PL Physician Assistant Past Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

13685 Doctors Way
Ste 350
Fort Myers, FL 33912
Phone (239) 343-1000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

12700 Creekside Ln
Ste 301
Fort Myers, FL 33919
Phone (239) 343-3780

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

6101 Pine Ridge Rd
Ste 101
Naples, FL 34119
Phone (239) 449-3072

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

1660 Medical Blvd
Ste 200
Naples, FL 34110
Phone (239) 566-3434

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

6101 Pine Ridge Rd
#10
Naples, FL 34119
Phone (239) 649-1662

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: byrongaarder@nsapl.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1326407867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-3800",
            "fax_number": "239-343-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13685 DOCTORS WAY STE 350",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124347",
            "telephone_number": "239-343-3800",
            "fax_number": "239-343-3993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12700 Creekside Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193356",
            "country_code": "US",
            "telephone_number": "239-343-3800",
            "fax_number": "239-343-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAARDER",
        "first_name": "BYRON",
        "middle_name": "CHARLES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9109296",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119971700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.