Active NPI
Sheila Joan Gately, MD
- Obstetrics & Gynecology Physician
- Jacksonville, FL
National Provider Identifier
1922368612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME126712
- Practice address
- 515 W 6TH St
Jacksonville, FL 32206-4324 - Phone
- (904) 253-1040
- Fax
- (904) 253-1918
- NPI assigned
- May 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 27178 | AZ | |
| Obstetrics & Gynecology Physician | 207V00000X | 026010 | CT | |
| Obstetrics & Gynecology Physician | 207V00000X | 104737 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | ME126712 | FL | Primary |
Addresses
Primary practice location
515 W 6TH St
Jacksonville, FL 32206-4324
Mailing address
900 University Blvd N
MC-75
Jacksonville, FL 32211-5530
Phone (904) 253-1025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001260108 | Medicaid | CT |
Other names 1
- Dr. Sheila Gately Gerbarg
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27178 | AZ | MD | Obstetrics & Gynecology Physician |
| 026010 | CT | MD | Obstetrics & Gynecology Physician |
| ME126712 | FL | MD | Obstetrics & Gynecology Physician |
| 104737 | MO | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1922368612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 UNIVERSITY BLVD N",
"address_2": "MC-75",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322115530",
"telephone_number": "904-253-1025",
"fax_number": "904-253-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W 6TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064324",
"telephone_number": "904-253-1040",
"fax_number": "904-253-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATELY",
"first_name": "SHEILA",
"middle_name": "JOAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-29",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "27178",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "026010",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "104737",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME126712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001260108",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHEILA",
"last_name": "GERBARG",
"middle_name": "GATELY",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.