Active NPI
William Horst Gazzola, D.O.
- Surgery Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS19211
- Practice address
- 1555 Kingsley Ave Ste 503
Orange Park, FL 32073-9207 - Phone
- (904) 278-5088
- NPI assigned
- Jun 9, 2016
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL39357 | SC | |
| Surgery Physician | 208600000X | OS19211 | FL | Primary |
Addresses
Primary practice location
1555 Kingsley Ave Ste 503
Orange Park, FL 32073-9207
Mailing address
1555 Kingsley Ave Ste 503
Orange Park, FL 32073-9207
Phone (904) 278-5088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of New England, College of Osteo Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1555 Kingsley Ave
Suite 503
Orange Park, FL 32073-9207
Phone (904) 278-5088
Hospital & facility affiliations
- Trilogy Home Healthcare
- Baptist Health Medical Center - Jacksonville
- Ascension St Vincent'S Clay County
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL39357 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Surgery | Current | Accepting new patients |
Locations
1747 Baptist Clay Dr
Ste 240
Fleming Island, FL 32003
Phone (904) 214-8161
836 Prudential Dr
Ste 1001
Jacksonville, FL 32207
Phone (904) 398-0004
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
1747 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 202-8550
1555 Kingsley Ave
Ste 503
Orange Park, FL 32073
Phone (904) 278-5088
Interoperability endpoints
- william.gazzola.1@9109.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1871529347
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1982053005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 KINGSLEY AVE STE 503",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320739207",
"telephone_number": "904-278-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 KINGSLEY AVE STE 503",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320739207",
"telephone_number": "904-278-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAZZOLA",
"first_name": "WILLIAM",
"middle_name": "HORST",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "LL39357",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "OS19211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.