Active NPI
Gary Jo Lienhart, DO
- Anesthesiology Physician
- Riverview, FL
National Provider Identifier
1972704070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS10592
- Practice address
- 11231 Lake Lanier Dr
Riverview, FL 33569-2935 - Phone
- (727) 230-1576
- Fax
- (727) 230-1604
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5101015979 | MI | |
| Anesthesiology Physician | 207L00000X | OS10592 | FL | Primary |
Addresses
Primary practice location
11231 Lake Lanier Dr
Riverview, FL 33569-2935
Mailing address
11231 Lake Lanier Dr
Riverview, FL 33569-2935
Phone (727) 230-1576
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015979 | MI | MD | Anesthesiology 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": "1258329600000",
"number": "1972704070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11231 LAKE LANIER DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335692935",
"telephone_number": "727-230-1576",
"fax_number": "727-230-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11231 LAKE LANIER DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335692935",
"telephone_number": "727-230-1576",
"fax_number": "727-230-1604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIENHART",
"first_name": "GARY",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101015979",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "OS10592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.