MR. GARY STEPHEN GUSTIN (NPI# 1962462275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962462275 |
| Entity Type | Individual |
| Full Name | MR. GARY STEPHEN GUSTIN |
| Credential | PA-C |
| Practice Address |
10000 Bay Pines Blvd St. Petersburg FL 33744 |
| Mailing Address |
11751 Tradewinds Blvd Largo FL 33773-4420 |
| Practice Telephone | 7273986661 |
| Mailing Telephone | 7272302972 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2240 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10000 BAY PINES BLVD |
| City | ST. PETERSBURG |
| State | FL |
| Zip Code | 33744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083799878 | Sharon Hoeker | Social Worker | 10000 Bay Pines Blvd, St. Petersburg, FL 33744 | 2006-10-27 |
| 1164512521 | Takeshi Okano | Specialist | 10000 Bay Pines Blvd, Bay Pines Va Medical Center, St. Petersburg, FL 33744 | 2006-10-13 |
| 1386746691 | Armand Eugene Zilioli | Orthopaedic Surgery | 10000 Bay Pines Blvd, St. Petersburg, FL 33744 | 2006-09-05 |
| 1841393113 | Mark Edward Lobley | Pharmacist | 10000 Bay Pines Blvd, St. Petersburg, FL 33744 | 2006-09-05 |
| 1205942034 | Beverly O'connor-griffin | Nurse Anesthetist, Certified Registered | 10000 Bay Pines Blvd, St. Petersburg, FL 33744 | 2006-08-22 |
| 1245254119 | Susan Aileen Lewis | Nurse Practitioner | 10000 Bay Pines Blvd, St. Petersburg, FL 33708 | 2006-07-26 |
| 1972526523 | Jerald Lee Cowles | Registered Nurse | 10000 Bay Pines Blvd, St. Petersburg, FL 33710 | 2006-07-25 |
| 1003845991 | Irma M Tassi | Dentist | 10000 Bay Pines Blvd, Mail Code 160 Bay Pines Vahcs, St. Petersburg, FL 33744 | 2006-07-02 |
| 1912947250 | Diane Sosa | Kinesiotherapist | 10000 Bay Pines Blvd, St. Petersburg, FL 33504 | 2006-06-07 |
| 1619965746 | William E Pollard | Pharmacist | 10000 Bay Pines Blvd, Pharmacy Service (119), St. Petersburg, FL 33708 | 2005-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267258 | Katlyn Shelley Starr | Social Worker | 10000 Bay Pines Vahca, Bay Pines, FL 33744 | 2020-08-31 |
| 1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
| 1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
| 1427519610 | Channing Anne Sofko | Psychologist | Bay Pines Vahcs, 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2019-03-29 |
| 1255710299 | Lisa Ann Snyder | Social Worker | 10000 Bay Pines Blvd Bldg 102 Room D185, Bay Pines Vahcs (116d), St Petersburg, FL 33744 | 2015-05-22 |
| 1598011272 | Emily G King | Clinical Neuropsychologist | 10,000 Bay Pines Blvd (116b), Bay Pines, FL 33744 | 2012-07-31 |
| 1245494376 | Saifu Daniel | Internal Medicine | 10000 Bay Pine Blvd, Bay Pines Va Hospital, Bay Pines, FL 33744 | 2008-07-17 |
| 1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
| 1831399260 | Rodrique A Rodney | Pharmacist | Bay Pines Va 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2007-07-24 |
| 1831395979 | Jennifer Lynn Thompson | Nurse Practitioner | 10,000 Baypines Blvd, Bldg 101, St. Petersburg, FL 33744 | 2007-06-25 |
| Find all providers in zip 33744 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932283025 | Michael Thomas Jordan | Physician Assistant | Seminole Blvd, St. Petersburg, FL 33744 | 2006-10-25 |
| 1134654668 | Cara Semelsberger | Physician Assistant | 625 6th Avenue South, Suite 450, St. Petersburg, FL 33701-4629 | 2017-04-21 |
| 1477087641 | Lauren Williams | Physician Assistant | 625 6th Avenue South, Suite 450, St. Petersburg, FL 33701 | 2017-04-14 |
| 1750686564 | Christopher S. Mcmichael | Physician Assistant | 4600 4th Street North, All Florida Orthopaedic Associates, Pa, St. Petersburg, FL 33703-3802 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | ST. PETERSBURG |
| Zip Code | 33744 |
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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.