Organization Active NPI

Gesher Medical Services, LLC

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1891536645
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GESHER MEDICAL SERVICES, LLC
Practice address
641 NW Floresta Dr
Port Saint Lucie, FL 34983-1516
Phone
(561) 436-1695
Fax
(772) 872-5897
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Armando MartinezNPI 1235881723
Title
Managing Partner
Phone
(786) 554-5873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

641 NW Floresta Dr
Port Saint Lucie, FL 34983-1516

Mailing address

641 NW Floresta Dr
Port Saint Lucie, FL 34983-1516
Phone (561) 436-1695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240718000603 FL Part B Supplier - Clinic/Group Practice 9638615347 Receives reassigned benefits from 3 practitioners
Practice locations: Port Saint Lucie, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1891536645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 NW FLORESTA DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831516",
            "telephone_number": "561-436-1695",
            "fax_number": "772-872-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 NW FLORESTA DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831516",
            "telephone_number": "561-436-1695",
            "fax_number": "772-872-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESHER MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "786-554-5873"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.