Gainesville After Hours Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GAINESVILLE AFTER HOURS CLINIC

Practice address

1050 NW 8TH Ave Ste 20
Gainesville, FL 32601-4998

Phone

(352) 379-7900

NPI assigned

Jul 22, 2006

Last updated

Dec 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew R Odom, MDNPI 1780828988

Title

President

Phone

(352) 373-4107

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Richard Odom, M.D.

  • Emergency Medicine Physician
  • Gainesville, FL
  • NPI 1780828988

  Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Peter M Gallogly, M.D.

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1053476226
  Medicare reassignment Care Compare group NPD
• David Eliot Kemp, M.D.

  • Family Medicine Physician
  • Starke, FL
  • NPI 1912917063
  Medicare reassignment Care Compare group NPD
• Thomas John Raulerson, MD

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1568486611
  Medicare reassignment Care Compare group NPD
• Erin Christina Caudle, FNP

  • Family Nurse Practitioner
  • Gainesville, FL
  • NPI 1134588494
  Medicare reassignment NPD
• Tony Lee Abbott

  • Family Nurse Practitioner
  • Gainesville, FL
  • NPI 1700427333
  NPD (past)
• James W Berk, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Alachua, FL
  • NPI 1972500338
  NPD (past)
• Clark Steven McCoy, MD

  • Addiction Medicine (Family Medicine) Physician
  • Fort Collins, CO
  • NPI 1871517912
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1780605865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 SW 53RD PL STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083035",
            "telephone_number": "352-373-4107",
            "fax_number": "352-373-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 8TH AVE STE 20",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014998",
            "telephone_number": "352-379-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE AFTER HOURS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-373-4107",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "280423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38426",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qurandus Gaines
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• Gainesville Accident & Injury Center
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• Gainesville and Ocala Perio LLC
• Gainesville Audiology, Inc.
• Gainesville Back and Neck Pain Relief Chiropractic,LLC
• Gainesville Chiropractic, Inc
• Gainesville Community Counseling Center

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.