Maxime G Gedeon, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME166986 Issued in FL

Practice address

2310 North Blvd W Ste a
Davenport, FL 33837-8988

Phone

(813) 701-5804

Fax

(813) 291-7615

NPI assigned

Sep 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

State University of New York at Stony Brook, School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Pain and Rehabilitation Associates IncGroup PAC ID 6204732605, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mgedeon@nationalspine.emadirect.md

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.

• Florida Pain and Rehabilitation Associates Inc

  • Interventional Pain Medicine Physician
  • Delray Beach, FL
  • NPI 1902064876
  Medicare reassignment Care Compare group NPD
• Excel Pain and Spine LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sun City Center, FL
  • NPI 1063028587
  Medicare reassignment NPD
• Excel Pain and Spine LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sarasota, FL
  • NPI 1023811619
  NPD
• Florida Pain and Rehabilitation Associates Inc

  • Specialist
  • Delray Beach, FL
  • NPI 1053363457
  NPD
• Florida Pain and Rehabilitation Associates Inc

  • Specialist
  • Fort Lauderdale, FL
  • NPI 1598347726
  NPD
• Florida Pain and Rehabilitation Institute Inc

  • Interventional Pain Medicine Physician
  • Delray Beach, FL
  • NPI 1356345060
  NPD (past)
• National Surgical Centers of America LLC

  • Ambulatory Surgical Clinic/Center
  • Lady Lake, FL
  • NPI 1063853174
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1720074487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 BESSIE COLEMAN BLVD UNIT 25201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336229130",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 NORTH BLVD W STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378988",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 Lakeland Hills Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338053208",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "771 Cypress Village Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736801",
            "country_code": "US",
            "telephone_number": "813-701-5804",
            "fax_number": "813-291-7615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEDEON",
        "first_name": "MAXIME",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD059432L",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME166986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "875476",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015959640008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mel Francis Garrovillo, M.D.
• Mackenzie Mae Gasal, APRN, CPNP-PC
• Gastro Health, LLC
• Gastroenterology Consultants of Polk County PA
• GDG Bilingual Therapy Group, LLC
• James Louis Gegenheimer, RDN CSCS
• Judith Geneus, LMHC
• Lynda-Marie George, MD
• Cletus Roy Georges, MD
• Karen Shanaker Germain, APRN

• Pain Medicine (Anesthesiology) Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.

Verify at the official NPI Registry.