F Gary Gieseke MD PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

F GARY GIESEKE MD PA

Practice address

1821 NE 25TH St Ste 101
Lighthouse Point, FL 33064-7744

Phone

(954) 771-4251

Fax

(954) 491-4892

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

F Gary Gieseke, M.D.

Title

President

Phone

(954) 771-4251

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Networks

• HealthSun Health Plans Network

Practitioners 3

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

• John A Coats, M.D.

  • Neurological Surgery Physician
  • Pompano Beach, FL
  • NPI 1679560874
  Medicare reassignment NPD
• Nicole Ann Puleo, ARNP

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1265980601
  Medicare reassignment NPD
• Hannah Ilene Cardarelli, SA-C

  • Surgical Physician Assistant
  • Delray Beach, FL
  • NPI 1427430354
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1962499160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 NE 25TH ST STE 101",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647744",
            "telephone_number": "954-771-4251",
            "fax_number": "954-491-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 NE 25TH ST STE 101",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647744",
            "telephone_number": "954-771-4251",
            "fax_number": "954-491-4892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 NE 47th St",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333087718",
            "country_code": "US",
            "telephone_number": "954-771-4251",
            "fax_number": "954-491-4892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 NE 47th St",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333087718",
            "country_code": "US",
            "telephone_number": "954-771-4251",
            "fax_number": "954-491-4892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "F GARY GIESEKE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GIESEKE",
        "authorized_official_first_name": "F GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-4251",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.