Organization Active NPI

Gainesville Family Healthcare PA

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1508996208
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME87889 Issued in FL
Legal business name
GAINESVILLE FAMILY HEALTHCARE PA
Practice address
100 SW 75TH St
Suite 101
Gainesville, FL 32607-5779
Phone
(352) 331-5277
Fax
(352) 331-5260
NPI assigned
Mar 6, 2007
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mamta Singh, M.D.NPI 1225178833
Title
President
Phone
(352) 359-2258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME87889 FL Primary

Addresses

Primary practice location

100 SW 75TH St
Suite 101
Gainesville, FL 32607-5779

Mailing address

9508 SW 33Rd LN
Gainesville, FL 32608-8652
Phone (352) 333-8370

National Provider Directory

National Provider Directory

Locations

100 SW 75th St
Ste 101
Gainesville, FL 32607
Phone (352) 331-5277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1508996208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508 SW 33RD LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088652",
            "telephone_number": "352-333-8370",
            "fax_number": "352-331-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST",
            "address_2": "SUITE 101",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075779",
            "telephone_number": "352-331-5277",
            "fax_number": "352-331-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE FAMILY HEALTHCARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "MAMTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-359-2258",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME87889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.