Active NPI
Gary Gillette, MD
- Emergency Medicine Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME0079320
- Practice address
- 6500 W Newberry Rd
Gainesville, FL 32605-4309 - Phone
- (352) 333-4900
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0079320 | FL | Primary |
Addresses
Primary practice location
6500 W Newberry Rd
Gainesville, FL 32605-4309
Mailing address
PO Box 409036
Atlanta, GA 30384-9036
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268694500 | Medicaid | FL | |
| 37752 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0079320 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Nes of Northern Florida Inc | Emergency Medicine | Current | Accepting new patients |
| Nes of Florida Inc | Emergency Medicine | Past | Accepting new patients |
| Nes of Florida Inc | Emergency Medicine | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
922 E Call St
Starke, FL 32091
Phone (904) 368-2300
Interoperability endpoints
- gary.gillette@hca5.eclinicaldirectplus.com
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.
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- NPI 1043917180
-
- Emergency Medicine Physician
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- NPI 1558583161
-
- Emergency Medicine Physician
- Gainesville, FL
- NPI 1063407070
-
- Emergency Medicine Physician
- Ocala, FL
- NPI 1598707689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1528035664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 409036",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303849036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 W NEWBERRY RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054309",
"telephone_number": "352-333-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETTE",
"first_name": "GARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME0079320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268694500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37752",
"state": "FL"
}
],
"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 Oct 25, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.