Individual provider Active NPI

Jaime Piercey Gastwirt, M.D.

  • Hematology & Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1356603187
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
127026 Issued in CA
Practice address
2005 Knight Lane, BLDG H
Navy Medicine Support Attn: Medical Staff Services
Jacksonville, FL 32212-0140
Phone
(619) 532-6827
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X 127026 CA Primary

Addresses

Primary practice location

2005 Knight Lane, BLDG H
Navy Medicine Support Attn: Medical Staff Services
Jacksonville, FL 32212-0140

Mailing address

34730 Bob Wilson Dr Ste 300
San Diego, CA 92134-3300
Phone (619) 532-7300

Other names 1

  • Dr. Jaime Lynn Piercey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140610000730 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0446474670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127026CAMDHematology & Oncology Physician

Interoperability endpoints

  • Direct secure messaging: jaime.gastwirt.d1.p1@direct.kymeramedical.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1356603187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34730 BOB WILSON DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921343300",
            "telephone_number": "619-532-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 KNIGHT LANE, BLDG H",
            "address_2": "NAVY MEDICINE SUPPORT ATTN: MEDICAL STAFF SERVICES",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "619-532-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTWIRT",
        "first_name": "JAIME",
        "middle_name": "PIERCEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "127026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "PIERCEY",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.