Individual provider Active NPI

Laini Rae Gaar, M.D.

  • Dermatology Physician
  • Port Charlotte, FL
National Provider Identifier
1700029337
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME116280 Issued in FL
Practice address
1617 Tamiami TRL
Port Charlotte, FL 33948-1040
Phone
(941) 613-2400
Fax
(941) 613-2401
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leavitt Medical Associates of Florida Inc 199 clinicians

Practice addresses (Care Compare)

1111 Tamiami TRL
Punta Gorda, FL 33950-5526
Phone (941) 833-4400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision214
Removal of skin lesions1831
Removal or shaving of skin growth1-10
Skin biopsy435

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
I20130812000642 FL Practitioner - Dermatology 3870735418 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116280FLMDDermatology Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Feb 5, 2016 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Feb 5, 2016 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology Past Accepting new patients
Stephen a Spencer MD PA Past Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

1617 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 613-2400

1111 Tamiami Trl
Punta Gorda, FL 33950
Phone (941) 613-2400

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME116280 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

NPPES NPI Registry

Primary practice location

1617 Tamiami TRL
Port Charlotte, FL 33948-1040

Mailing address

151 Southhall LN
Ste 300
Maitland, FL 32751-7172
Phone (407) 875-2080

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
K2160OtherFLGROUP PTAN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2019.

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1700029337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN",
            "address_2": "STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481040",
            "telephone_number": "941-613-2400",
            "fax_number": "941-613-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAAR",
        "first_name": "LAINI",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME116280",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "K2160",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.