PETER PAUL GERLEY (NPI# 1629230362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629230362 |
| Entity Type | Individual |
| Full Name | PETER PAUL GERLEY |
| Credential | M.D. |
| Practice Address |
4202 E Fowler Ave Shs 100 Tampa FL 33620-9951 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-7770 |
| Practice Telephone | 8139742331 |
| Practice Fax Number | 8139747181 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2010-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME29631 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000200000 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 53716 | 01 |
| Street Address |
4202 E FOWLER AVE SHS 100 |
| City | TAMPA |
| State | FL |
| Zip Code | 33620-9951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793004 | Melissa M Bailey | Nurse Practitioner | 4202 E Fowler Ave, Shs100, Tampa, FL 33620-6750 | 2005-10-12 |
| 1023615226 | Allison Bootz | Student in an Organized Health Care Education/Training Program | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-10-01 |
| 1265050926 | Macy Franklin | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-07-09 |
| 1043834351 | Marian Alice Lowther | Speech-Language Pathologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-06-02 |
| 1235750928 | Bethany Moorhouse | Student in an Organized Health Care Education/Training Program | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2020-05-04 |
| 1245872985 | Stacey Julia Struhar | Dietitian, Registered | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-10-15 |
| 1609439074 | Khalid Shakfeh | Student in an Organized Health Care Education/Training Program | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-04-20 |
| 1598228256 | Isabella Abbasi | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-04-10 |
| 1396201448 | Vanessa Chantal Barber | Social Worker | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-02-13 |
| 1588128698 | Kassandra Lynch | Specialist/Technologist | 4202 E Fowler Ave, Tampa, FL 33620-8000 | 2019-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145542 | Ramon Ramirez | Specialist/Technologist | 4202 E Fowler Ave., Ath 100, Tampa, FL 33620 | 2018-12-17 |
| 1093818908 | Theresa Hnath-chisolm | Audiologist | 4202 E Fowler Aveune, University of South Florida PCd 1017, Tampa, FL 33620 | 2006-09-06 |
| 1215303805 | Kaitlyn Rechenberg | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2015-08-18 |
| 1245527738 | Kelli Gorajec | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2011-07-05 |
| 1487843637 | Jane Bradley Smart | Speech-Language Pathologist | 4202 E Fowler Ave Stop PCd1017, Tampa, FL 33620 | 2007-10-23 |
| 1912082199 | Rebecca Marie Lutz | Nurse Practitioner | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2006-10-26 |
| 1306956206 | Wendy Weiss | Family Medicine | 4202 E Fowler Ave Stop Shs100, Tampa, FL 33620 | 2006-08-30 |
| 1518472901 | Kacey Garcia Poulin | Speech-Language Pathologist | 4202 E Fowler Ave PCd2000, Tampa, FL 33620-0001 | 2017-12-06 |
| 1598275695 | Laura Anne Marshall | Behavior Technician | Usf Birch Drive, Tampa, FL 33620-0001 | 2017-10-04 |
| 1053793026 | University Medical Service Association Inc | Clinical Medical Laboratory | 4107 Usf Cedar Cir, Ste 171, Tampa, FL 33620-0001 | 2015-06-25 |
| Find all providers in zip 33620 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285953679 | Matthew J Mifsud | Otolaryngology | 2 Tampa General Cir Fl Circle2, Tampa, FL 33606-3603 | 2010-05-25 |
| 1801124839 | Martin Joseph Adelman | Otolaryngology | 16307 Avila Blvd, Tampa, FL 33613-1000 | 2009-12-02 |
| 1942473921 | Kathleen A Macisaac | Otolaryngology | 4320 S Manhattan Ave, Tampa, FL 33611-1304 | 2008-04-10 |
| 1528273455 | Michael James Butler | Otolaryngology | 6432 Renwick Cir, Tampa, FL 33647-1172 | 2007-05-14 |
| 1215019179 | Jonathan Lyons Chadwick | Otolaryngology | 4714 N Armenia Ave Ste 200, Tampa, FL 33603-2603 | 2006-10-20 |
| 1972530616 | Warren S. Goldstein | Otolaryngology | 7425 Monika Manor Dr, Tampa, FL 33625-5814 | 2006-06-27 |
| 1487680856 | Douglas William Klotch | Otolaryngology | 3450 E Fletcher Avenue, Suite 260, Tampa, FL 33613 | 2006-06-25 |
| 1164469151 | George Blake M.d., P.a. | Otolaryngology | 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479 | 2006-05-31 |
| 1821049826 | Amanollah -- Tabesh | Otolaryngology | 7001 N Dale Mabry Hwy, Suite # 3, Tampa, FL 33614-3910 | 2006-05-14 |
| 1437143104 | Lance R Meyerson | Otolaryngology | 12500 N Dale Mabry Hwy Ste F, Tampa, FL 33618-2809 | 2005-09-08 |
| Find all providers in TAMPA | ||||
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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.