Organization Active NPI

Gawdy LLC

  • Prosthetic/Orthotic Supplier
  • Ocala, FL
National Provider Identifier
1649922428
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
GAWDY LLC
Practice address
923 N Magnolia Ave Ste 1300
Ocala, FL 34475-5133
Phone
(352) 509-6359
NPI assigned
Jan 22, 2022
Last updated
Jan 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Authorized official

Name
Daje LakeNPI 1992315410
Title
Provider
Phone
(352) 509-6359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary
Prosthetics Case Management 1744P3200X NU

Addresses

Primary practice location

923 N Magnolia Ave Ste 1300
Ocala, FL 34475-5133

Mailing address

923 N Magnolia Ave Ste 1300
Ocala, FL 34475-5133

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 3525096359

National Provider Directory

National Provider Directory

Locations

923 N Magnolia Ave
Ste 1300
Ocala, FL 34475
Phone (352) 509-6359

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": "1642809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642809600000",
    "number": "1649922428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 N MAGNOLIA AVE STE 1300",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344755133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 N MAGNOLIA AVE STE 1300",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344755133",
            "telephone_number": "352-509-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAWDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "DAJE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "352-509-6359"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3525096359",
            "affiliation": "N",
            "address_1": "923 N Magnolia Ave Ste 1300",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344755133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.