NPIMap

Organization Active NPI

Guardian Health LLC

  • Family Medicine Physician
  • Venice, FL
National Provider Identifier
1467129452
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GUARDIAN HEALTH LLC
Practice address
300 Tamiami TRL S Unit 1
Venice, FL 34285-2422
Phone
(941) 303-5713
Fax
(941) 786-3914
NPI assigned
Aug 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Gavin Whapshare, DONPI 1003171901
Title
Owner
Phone
(941) 305-5713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

300 Tamiami TRL S Unit 1
Venice, FL 34285-2422

Mailing address

300 Tamiami TRL S Unit 1
Venice, FL 34285-2422
Phone (941) 303-5713

Other names 1

  • Guardian Health LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220118000926 FL Part B Supplier - Clinic/Group Practice 1658763909 Receives reassigned benefits from 8 practitioners
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

512 Bayshore Rd
Nokomis, FL 34275
Phone (941) 400-3847

300 Tamiami Trl S
Unit 1
Venice, FL 34285
Phone (941) 303-5713

300 Tamiami Trl S
Venice, FL 34285
Phone (941) 303-5713

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1467129452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TAMIAMI TRL S UNIT 1",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852422",
            "telephone_number": "941-303-5713",
            "fax_number": "941-786-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TAMIAMI TRL S UNIT 1",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852422",
            "telephone_number": "941-303-5713",
            "fax_number": "941-786-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "WHAPSHARE",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-305-5713",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Health LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.