Individual provider Active NPI

Gary Robert Uremovich, PA

  • Physician Assistant
  • Wesley Chapel, FL
National Provider Identifier
1730146176
Registry record updated May 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108575 Issued in FL
Practice address
27406 Cashford Cir
Wesley Chapel, FL 33544-8199
Phone
(813) 994-8900
Fax
(855) 388-5350
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-00096 NC
Physician Assistant 363A00000X PA9108575 FL Primary

Addresses

Primary practice location

27406 Cashford Cir
Wesley Chapel, FL 33544-8199

Mailing address

27406 Cashford Cir
Wesley Chapel, FL 33544-8199
Phone (813) 994-8900

Other identifiers 2

IdentifierTypeStateIssuer
PA9108575OtherFLFL LICENSE
1638XOtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-00096NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Physician Assistant Past Accepting new patients
Fastmed Urgent Care PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432425600000",
    "number": "1730146176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27406 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448199",
            "telephone_number": "813-994-8900",
            "fax_number": "855-388-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27406 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448199",
            "telephone_number": "813-994-8900",
            "fax_number": "855-388-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UREMOVICH",
        "first_name": "GARY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2015-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00096",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "PA9108575",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1638X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.