Active NPI
Jack N. Gay Jr., M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME58150
- Practice address
- 1301 2ND Ave SW
Largo, FL 33770-3120 - Phone
- (727) 935-0500
- Fax
- (727) 935-0501
- NPI assigned
- Jun 23, 2006
- Last updated
- Sep 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | ME58150 | FL | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | ME58150 | FL | |
| Anatomic Pathology Physician | 207ZP0101X | ME58150 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME58150 | FL | Primary |
| Clinical Pathology Physician | 207ZC0006X | ME58150 | FL |
Addresses
Primary practice location
1301 2ND Ave SW
Largo, FL 33770-3120
Mailing address
1301 2ND Ave SW
Largo, FL 33770-3120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261649100 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Medical College of Georgia School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME58150 | FL | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic Alliance in Dermatology, PLLC | Dermatopathology | Current | Accepting new patients |
| Ruffolo Hooper & Associates MD PA | Dermatopathology | Current | Accepting new patients |
Locations
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986
5755 Hoover Blvd
Tampa, FL 33634
Organizations & group practices 3
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.
-
dba Academic Alliance in Dermatology
- Dermatology Physician
- Tampa, FL
- NPI 1538119722
Dermatopathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Tampa, FL
- NPI 1790732360
Dermatopathology
-
- Specialist
- Clearwater, FL
- NPI 1699797266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1720014897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337703120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337703120",
"telephone_number": "727-935-0500",
"fax_number": "727-935-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "JACK",
"middle_name": "N.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "FL",
"license": "ME58150",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "FL",
"license": "ME58150",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "FL",
"license": "ME58150",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME58150",
"primary": true
},
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "FL",
"license": "ME58150",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261649100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.