Roger John Gstalder, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME 17041 Issued in FL

Practice address

601 S Belcher Rd
Clearwater, FL 33764-6301

Phone

(727) 799-3772

Fax

(727) 797-2957

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Stuart J Kaufman MD & Assoc PA

  • Ophthalmology Physician
  • Zephyrhills, FL
  • NPI 1083838692
  Medicare reassignment NPD
• Stuart J Kaufman MD & Assoc PA

  • Durable Medical Equipment & Medical Supplies
  • Wesley Chapel, FL
  • NPI 1861839532
  NPD
• Brandon Eye Associates PA

  • Ophthalmology Physician
  • Brandon, FL
  • NPI 1215969357
  NPD (past)
• Eye Site of Tampa Bay PA

  • Ophthalmology Physician
  • Clearwater, FL
  • NPI 1689773657
  NPD (past)
• Eye Site of Tampa Bay PA

  • Ophthalmology Physician
  • New Port Richey, FL
  • NPI 1750478632
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891790366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 LITTLE ROAD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551294",
            "telephone_number": "727-375-0300",
            "fax_number": "727-375-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646301",
            "telephone_number": "727-799-3772",
            "fax_number": "727-797-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GSTALDER",
        "first_name": "ROGER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 17041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255271000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylee Rose Gronseth
• Amber Gross, PT, DPT
• Constance Ann Gross, PHD
• Andreas Menesses Grossgold, M.D
• Kalynn Gruenfelder, PSY.D.
• GTB Home Healthcare Solutions, Inc.
• David Guadarrama, DO
• Guardian Transit Services LLC
• Meghan Elizabeth Guarino, DNP
• Darlene Faye Guckenberger, OTR-L

• Ophthalmology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.