Individual provider Active NPI

Jane Marie Gregoritch, M.D.

  • Clinical Genetics (M.D.) Physician
  • Gainesville, FL
National Provider Identifier
1932300068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
19512 Issued in AL
Practice address
10111 SW 67TH Dr
Gainesville, FL 32608-6379
Phone
(352) 371-2222
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 19512 AL Primary

Addresses

Primary practice location

10111 SW 67TH Dr
Gainesville, FL 32608-6379

Mailing address

10111 SW 67TH Dr
Gainesville, FL 32608-6379
Phone (352) 371-2222

Other identifiers 1

IdentifierTypeStateIssuer
19512OtherALSTATE MEDICAL LICENSE NUM

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19512ALMDClinical Genetics (M.D.) Physician

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932300068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 SW 67TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326086379",
            "telephone_number": "352-371-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 SW 67TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326086379",
            "telephone_number": "352-371-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORITCH",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "AL",
            "license": "19512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUM",
            "identifier": "19512",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.