Individual provider Active NPI

Jason Gamez, MD

  • Emergency Medicine Physician
  • Plantation, FL
National Provider Identifier
1477716645
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME109872 Issued in FL
Practice address
401 NW 2ND Ave.
Plantation General Hospital
Plantation, FL 33317-2835
Phone
(954) 797-6470
Fax
(954) 321-4077
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME109872 FL Primary

Addresses

Primary practice location

401 NW 2ND Ave.
Plantation General Hospital
Plantation, FL 33317-2835

Mailing address

1613 North Harrison Parkway
Suite 200
Sunrise, FL 33323-2853
Phone (954) 838-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109872FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Primary Care P a Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jgamez335433@direct.wvuhsdirect.com

Organizations & group practices 1

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.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1477716645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 NORTH HARRISON PARKWAY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232853",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NW 2ND AVE.",
            "address_2": "PLANTATION GENERAL HOSPITAL",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172835",
            "telephone_number": "954-797-6470",
            "fax_number": "954-321-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEZ",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME109872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.