Active NPI
Byron Charles Gaarder, PA-C
- Physician Assistant
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9109296
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119971700 | Medicaid | FL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109296 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Neuroscience and Spine Associates PL | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Neuroscience and Spine Associates PL | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Specialist
- Naples, FL
- NPI 1811177298
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba LCH-Golisano Peds PC Bayshore
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
dba LCH - Golisano Peds BH - Quality Life Center
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1447099973
-
- Orthopaedic Surgery Physician
- Naples, FL
- NPI 1023847563
-
- Interventional Pain Medicine Physician
- Naples, FL
- NPI 1669536645
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.