MR. GARY WAYNE CATER (NPI# 1033254214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033254214 |
Entity Type | Individual |
Full Name | MR. GARY WAYNE CATER |
Credential | D.O. |
Practice Address |
400 Health Park Blvd St Augustine FL 32086-5784 |
Mailing Address |
Po Box 44008 Provider Enrollment Jacksonville FL 32231-4008 |
Practice Telephone | 9048194478 |
Mailing Telephone | 9048194478 |
Mailing Fax Number | 9042443425 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2011-11-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | OS4397 | FL | Allopathic & Osteopathic Physicians |
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
OS4397 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 276220000 | 05 |
Street Address |
400 HEALTH PARK BLVD |
City | ST AUGUSTINE |
State | FL |
Zip Code | 32086-5784 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801881818 | Emergency Physicians of St. Johns County | Emergency Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2005-09-15 |
1245846468 | Nicole Marie Zisman | Internal Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2020-09-22 |
1700499522 | Yolanda Campbell | Family Medicine | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2020-08-31 |
1952912826 | Megan Burke | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5790 | 2020-08-13 |
1639709173 | Keith Latasiewicz | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2020-01-23 |
1508416991 | Ashley Jarriel Gucwa | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2019-09-17 |
1831741925 | Jessica Anne Lindamood | Dietitian, Registered | 400 Health Park Blvd, St Augustine, FL 32086-5790 | 2019-07-10 |
1649787326 | Spencer Jonathan Garrison | Nurse Anesthetist, Certified Registered | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2018-01-04 |
1750804662 | Gabrielle Du Sablon | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2017-07-23 |
1124540588 | Jessica Marie Johnson | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2017-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
Find all providers in zip 32086 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851816136 | Ellen Eisenberg | Pediatrics | 4599 Nw 26th Ave, Boca Raton, FL 33434-2521 | 2017-08-08 |
1104367093 | Joyce Peabody | Pediatrics | 1495 Estuary Trl, Delray Beach, FL 33483-5962 | 2017-03-13 |
1730518085 | John J Esslinger | Pediatrics | 8427 Southpark Cir, Suite 500, Orlando, FL 32819-9058 | 2013-11-07 |
1407148406 | Stephanie Shevon Turner | Pediatrics | 3501 Johnson St., Joe Dimaggio Children's Hospital, Hollywood, FL 33021 | 2011-05-09 |
1275823247 | Sarah A. Bajorek | Pediatrics | 83 W Miller St # Mp324, Orlando, FL 32806-2031 | 2011-04-12 |
1548561186 | Juan Miguel Fuentes Guerra | Pediatrics | 7800 Sw 21st St, Miami, FL 33155-6510 | 2010-11-13 |
1710299581 | Whitney Blake Eldridge | Pediatrics | 4321 N Macdill Ave Ste 304, Tampa, FL 33607-6390 | 2010-07-09 |
1972826113 | Kim Stepnen Haskins | Pediatrics | 10609 Indian Trl, Cooper City, FL 33328-5513 | 2010-03-02 |
1811178098 | Mohammed Rashed Shareef | Pediatrics | 5333 Sw 75th St Apt W140, Gainesville, FL 32608-7452 | 2007-11-16 |
1356535751 | Kanchan Mishra | Pediatrics | 5955 Ponce De Len Blvd, Coral Gables, FL 33146 | 2007-08-29 |
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City | ST AUGUSTINE |
Zip Code | 32086 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.