Active NPI
Gainesville Plastic Surgery Associates PL
- Plastic and Reconstructive Surgery Physician
- Gainesville, FL
National Provider Identifier
1659567303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- GAINESVILLE PLASTIC SURGERY ASSOCIATES PL
- Practice address
- 6801 NW 9TH Blvd
Suite 2
Gainesville, FL 32605-4269 - Phone
- (352) 331-3401
- Fax
- (352) 332-0922
- NPI assigned
- Sep 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie Gruenwald
- Title
- Practice Manager
- Phone
- (352) 331-3401
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
6801 NW 9TH Blvd
Suite 2
Gainesville, FL 32605-4269
Mailing address
6801 NW 9TH Blvd
Suite 2
Gainesville, FL 32605-4269
Phone (352) 331-3401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2240581 | Gainesville Plastic Surgery Associates, PL | Certificate of waiver | Oct 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Gainesville, FL
- NPI 1023276037
-
- Plastic Surgery Physician
- Gainesville, FL
- NPI 1285682393
-
- Plastic and Reconstructive Surgery Physician
- Gainesville, FL
- NPI 1780707299
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Gainesville, FL
- NPI 1528013513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225411200000",
"number": "1659567303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 NW 9TH BLVD",
"address_2": "SUITE 2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054269",
"telephone_number": "352-331-3401",
"fax_number": "352-332-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 NW 9TH BLVD",
"address_2": "SUITE 2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054269",
"telephone_number": "352-331-3401",
"fax_number": "352-332-0922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAINESVILLE PLASTIC SURGERY ASSOCIATES PL",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-17",
"last_updated": "2008-10-31",
"status": "A",
"authorized_official_last_name": "GRUENWALD",
"authorized_official_first_name": "CONNIE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "352-331-3401"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgery of the Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
- Gainesville Peer Respite, Inc.
- Gainesville Physical Therapy & Wellness LLC
- Gainesville Physical Therapy and Rehabilitation Services Inc
- Gainesville Physicians LLC
- Gainesville Physicians LLC
- Gainesville Podiatry Associates
- Gainesville Psychiatry and Forensic Services L.L.C.
- Gainesville Radiology Group West, LLC
- Gainesville Rehabilitation and Nursing Center LLC
- Gainesville Sleep Lab, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.