Gainesville GYN Oncology of North Florida Regional Medical Center, LLC

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

ME73553 Issued in FL

Legal business name

GAINESVILLE GYN ONCOLOGY OF NORTH FLORIDA REGIONAL MEDICAL CENTER, LLC

Practice address

6400 W Newberry Rd
Suite 103
Gainesville, FL 32605-4384

Phone

(352) 333-5946

Fax

(352) 333-5947

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William T Johnson

Title

Vice President

Phone

(615) 372-3375

Specialties & licenses 1

Addresses

Other identifiers 1

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 4

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

• Emily Presnell

  • Nurse Practitioner
  • Gainesville, FL
  • NPI 1598167405
  Medicare reassignment Care Compare group NPD
• Daylene L Ripley, MD

  • Gynecologic Oncology Physician
  • Gainesville, FL
  • NPI 1982659231
  Medicare reassignment Care Compare group NPD
• Elaine Zapata, ARNP

  • Nurse Practitioner
  • Gainesville, FL
  • NPI 1588652960
  Medicare reassignment Care Compare group NPD
• Aimee Joann Kalb, PA-C

  • Surgical Physician Assistant
  • Gainesville, FL
  • NPI 1134381106
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1902851264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD",
            "address_2": "SUITE 103",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054384",
            "telephone_number": "352-333-5946",
            "fax_number": "352-333-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD",
            "address_2": "SUITE 103",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054384",
            "telephone_number": "352-333-5946",
            "fax_number": "352-333-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE GYN ONCOLOGY OF NORTH FLORIDA REGIONAL MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-3375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME73553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1522",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gainesville Family Physicians P a
• Gainesville FL Opco LLC
• Gainesville FL Orthopaedic ASC LLC
• Gainesville Geriatric
• Gainesville Group Supply Inc
• Gainesville Gynecology Group, MD PA
• Gainesville Healing House, Inc.
• Gainesville Health & Wellness Center Inc
• Gainesville Health Ad Rehabilitation Center
• Gainesville Health and Rehab Opco LLC

• Gynecologic Oncology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Gynecologic Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.