Active NPI
Gavin Wayne Sigle, M.D.
- Colon & Rectal Surgery Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME145797
- Practice address
- 3000 Medical Park Dr Ste 500
Tampa, FL 33613-6600 - Phone
- (813) 615-7366
- Fax
- (813) 615-8350
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11569477-8905 | UT | |
| Colon & Rectal Surgery Physician | 208C00000X | 55846 | CO | |
| Colon & Rectal Surgery Physician | 208C00000X | ME145797 | FL | Primary |
Addresses
Primary practice location
3000 Medical Park Dr Ste 500
Tampa, FL 33613-6600
Mailing address
3000 Medical Park Dr Ste 500
Tampa, FL 33613-6600
Phone (813) 615-7366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6450 38TH Ave N
Suite 310
Saint Petersburg, FL 33710-1649
Phone (727) 551-2033
Hospital & facility affiliations
- HCA Florida St Petersburg Hospital
- HCA Florida Northside Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 16 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11569477-8905 | UT | MD | Surgery Physician |
| 55846 | CO | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mana Health Partners TX PLLC | Current | Accepting new patients | |
| Surgical Institute of South Dakota, PC | Surgery | Current | Accepting new patients |
| Greater Tampa Bay Physician Specialists, LLC | Surgery | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6450 38th Ave N
Ste 310
St Petersburg, FL 33710
Phone (727) 333-5420
602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322
2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569
911 E 20th St
Ste 700
Sioux Falls, SD 57105
Phone (605) 322-7300
910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
7633 Bellfort St
Houston, TX 77061
Phone (713) 644-2101
930 S Baxter Ave
Tyler, TX 75701
Phone (903) 595-4668
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- gavin.sigle@hca4.eclinicaldirectplus.com
- gsigle52052@enloedirect.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Tampa, FL
- NPI 1528492287
-
- Internal Medicine Physician
- Houston, TX
- NPI 1639970734
-
- Surgery Physician
- Sioux Falls, SD
- NPI 1760569248
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1518911031
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1205880945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1497917561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DR STE 500",
"city": "TAMPA",
"state": "FL",
"postal_code": "336136600",
"telephone_number": "813-615-7366",
"fax_number": "813-615-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DR STE 500",
"city": "TAMPA",
"state": "FL",
"postal_code": "336136600",
"telephone_number": "813-615-7366",
"fax_number": "813-615-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIGLE",
"first_name": "GAVIN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "11569477-8905",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CO",
"license": "55846",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "FL",
"license": "ME145797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.