Active NPI
Walter F. Gassner, M.D.
- Surgery Physician
- Boynton Beach, FL
National Provider Identifier
1952456303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME16998
- Practice address
- 12097 Oakvista Dr
Boynton Beach, FL 33437-6351 - Phone
- (561) 364-2929
- Fax
- (509) 691-1809
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME16998 | FL | Primary |
Addresses
Primary practice location
12097 Oakvista Dr
Boynton Beach, FL 33437-6351
Mailing address
12097 Oakvista Dr
Boynton Beach, FL 33437-6351
Phone (561) 364-2929
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150427001534 | FL | Order and Referring Only - General Surgery | 9032438932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME16998 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1952456303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12097 OAKVISTA DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334376351",
"telephone_number": "561-364-2929",
"fax_number": "509-691-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12097 OAKVISTA DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334376351",
"telephone_number": "561-364-2929",
"fax_number": "509-691-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASSNER",
"first_name": "WALTER",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME16998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.