Individual provider Active NPI

Garrick B Kantzler, M.D.

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1720197080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
000122-0000169 Issued in FL
Practice address
805 37TH PL
Vero Beach, FL 32960-6564
Phone
(772) 562-2330
Fax
(772) 562-2592
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000122-0000169 FL Primary

Addresses

Primary practice location

805 37TH PL
Vero Beach, FL 32960-6564

Mailing address

805 37TH PL
Vero Beach, FL 32960-6564
Phone (772) 562-2330

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
I20110504000240 FL Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9335324540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
University of Florida College of Medicine, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3745 11TH Cir
Suite 107
Vero Beach, FL 32960-4838
Phone (772) 562-2330

805 37TH PL
Vero Beach, FL 32960-6564

805 37TH Place
Vero Beach, FL 32960-6564

Hospital & facility affiliations

  • Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Willowbrooke Court at Indian River Estates Nursing home, Vero Beach, FL, CCN 105593

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000122-0000169FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garrick Kantzler M D P a Internal Medicine CurrentSince Aug 1, 1974 Accepting new patients

Locations

805 37th Pl
Vero Beach, FL 32960
Phone (772) 257-7373

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720197080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606564",
            "telephone_number": "772-562-2330",
            "fax_number": "772-562-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606564",
            "telephone_number": "772-562-2330",
            "fax_number": "772-562-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTZLER",
        "first_name": "GARRICK",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "000122-0000169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.