Individual provider Active NPI

Katherine Gaitan, PA-C

  • Medical Physician Assistant
  • Punta Gorda, FL
National Provider Identifier
1609327741
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9121405 Issued in FL
Practice address
25097 Olympia Ave Ste 202
Punta Gorda, FL 33950-3914
Phone
(813) 321-1786
Fax
(813) 321-1787
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9121405 FL Primary

Addresses

Primary practice location

25097 Olympia Ave Ste 202
Punta Gorda, FL 33950-3914

Mailing address

18228 N US Highway 41
Lutz, FL 33549-4400
Phone (813) 321-1786

Other practice location 1

2001 Siesta Dr Ste 201
Sarasota, FL 34239-5200
Phone (813) 321-1786

Other practice location 2

3443 Tamiami Trl Ste 1A
Port Charlotte, FL 33952-8159
Phone (813) 321-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190625001258 AZ Practitioner - Physician Assistant 6305126798 Reassigns benefits to 12 organizations
I20260309001659 FL Practitioner - Physician Assistant 6305126798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Skin SolutionsGroup PAC ID 7416018221, 102 clinicians

Practice addresses (Care Compare)

25097 Olympia Ave
Suite 202
Punta Gorda, FL 33950-3914
Phone (813) 321-1786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9121405FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC CurrentSince May 14, 2023 Accepting new patients
Suncoast Skin Solutions CurrentSince Oct 21, 2025 Accepting new patients
Desert Spine and Sports Physicians PLLC CurrentSince Jan 8, 2024 Accepting new patients
Western Med Group LLC CurrentSince Nov 9, 2022 Accepting new patients
Mobile Visiting Practitioners, LLC CurrentSince Feb 19, 2026 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince May 14, 2023 Accepting new patients
Douglas K Pierce MD PA PastSince Apr 5, 2026 Accepting new patients
Atlas Outpatient PastSince Feb 2, 2025 Accepting new patients

Locations

7558 W Thunderbird Rd
Ste 4B
Peoria, AZ 85381
Phone (623) 412-2241

3700 N 24th St
Ste 210
Phoenix, AZ 85016
Phone (602) 840-0681

2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

140 S Beach St
Ste 202
Daytona Beach, FL 32114
Phone (888) 506-8836

18228 N US Highway 41
Lutz, FL 33549

3443 Tamiami Trl
Ste 1A
Port Charlotte, FL 33952

25097 Olympia Ave
Ste 202
Punta Gorda, FL 33950
Phone (941) 205-3376

2001 Siesta Dr
Ste 201
Sarasota, FL 34239
Phone (941) 365-5582

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1609327741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18228 N US HIGHWAY 41",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494400",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE STE 202",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503914",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Siesta Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342395200",
            "country_code": "US",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3443 Tamiami Trl Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339528159",
            "country_code": "US",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAITAN",
        "first_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9121405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.