Individual provider Active NPI

Laura Burns Gaffney, MD

  • Internal Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1679530265
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME102928 Issued in FL
Practice address
34637 US Highway 19 N
Palm Harbor, FL 34684-2152
Phone
(727) 786-1673
Fax
(727) 785-0284
NPI assigned
Apr 27, 2006
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME102928 FL
Internal Medicine Physician 207R00000X ME102928 FL Primary

Addresses

Primary practice location

34637 US Highway 19 N
Palm Harbor, FL 34684-2152

Mailing address

34637 US Highway 19 N
Palm Harbor, FL 34684-2152
Phone (727) 786-1673

Other identifiers 2

IdentifierTypeStateIssuer
5261531OtherFLAETNA
93081OtherFLBLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090113000897 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9234292467 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME102928FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tarpon Springs Hospital Foundation Inc CurrentSince Jun 1, 2020 Accepting new patients
Tarpon Springs Hospital Foundation Inc Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients

Locations

34637 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 786-1673

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

1395 S Pinellas Ave
#N
Tarpon Springs, FL 34689
Phone (727) 942-5126

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1679530265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34637 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842152",
            "telephone_number": "727-786-1673",
            "fax_number": "727-785-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34637 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842152",
            "telephone_number": "727-786-1673",
            "fax_number": "727-785-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "LAURA",
        "middle_name": "BURNS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME102928",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME102928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5261531",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "93081",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.