DR. GERALD ANTHONY MASTAW JR. (NPI# 1316993454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316993454 |
Entity Type | Individual |
Full Name | DR. GERALD ANTHONY MASTAW JR. |
Other Name | JERRY MASTAW |
Credential | MD |
Practice Address |
1924k Dauphin Island Pkwy Mobile AL 36605-3004 |
Practice Telephone | 2513089800 |
Mailing Telephone | 2513089800 |
Enumeration Date | 2006-05-26 |
Last Update Date | 2019-12-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 4301076665 | MI | Allopathic & Osteopathic Physicians |
N | 207L00000X | Anesthesiology | 200400382 | NC | Allopathic & Osteopathic Physicians |
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD38433 | AL | Allopathic & Osteopathic Physicians |
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME 108549 | FL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
4457 Bayou Blvd, Pensacola, FL 325032601 | 8502266801 | 8502266801 |
Street Address |
1924K DAUPHIN ISLAND PKWY |
City | MOBILE |
State | AL |
Zip Code | 36605-3004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871146555 | Dynamic Pain & Wellness Pllc | Clinic/Center | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2019-07-22 |
1396397774 | Haley Stuart | Nurse Practitioner | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2019-07-15 |
1558857490 | Renew Physiotherapy | Clinic/Center | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2018-07-03 |
1730200130 | Meeta Nicholas | Nurse Practitioner | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2007-04-03 |
1750398434 | Elizabeth G Mathison | Family Medicine | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2006-08-02 |
1669489340 | Texel Dewine Johnson | Family Medicine | 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004 | 2006-08-02 |
1124041850 | Cary Scott Helton | Physical Therapist | 1924k Dauphin Island Pkwy, Mobile, AL 36605 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366842072 | Harriett D Coleman | Adult Companion | 1615 Chesire Dr. West, Mobile, AL 36605 | 2014-08-29 |
1316180979 | Maria Dorothea Snyman | Occupational Therapist | 954 Navco Rd., Crowne Healthcare of Mobile, Mobile, AL 36605 | 2009-04-13 |
1073722708 | Mobile Family Physicians PC | Nurse Practitioner | 1924-k Dauphin Island Parkway, Mobile, AL 36605 | 2007-05-21 |
1558489492 | Robert L. Mendel | Dentist | 1924-d Dauphin Island Parkway, Mobile, AL 36605 | 2007-03-27 |
1255315198 | Linda Kristene Davenport | Family Medicine | 2601 Dauphin Island Parkway, Mobile, AL 36605 | 2005-12-05 |
1922241488 | Jaures M Negre | Physical Therapist | 954 Navco Rd., Crowne of Mobile, Mobile, AL 36605 | 2009-04-14 |
1033466081 | Senior Homecare Concierge Services | In Home Supportive Care | 1310 N Cloverleaf Cir, Mobile, AL 36605-1625 | 2012-08-09 |
1619446663 | Heather Leigh Mcdermottjohnson | Social Worker | 1630 S Broad St, Mobile, AL 36605-1806 | 2018-11-20 |
1275078693 | Xtra Touch Homecare | Home Health Aide | 1257 E Linwood Dr, Mobile, AL 36605-2263 | 2016-12-20 |
1194183129 | Bryant Center Technical Center | Custodial Care Facility | 2003 N Gimon Cir, Mobile, AL 36605-2348 | 2016-02-04 |
Find all providers in zip 36605 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760482111 | Ralph Lee Irvin Jr. | Anesthesiology | 1601 Center St Ste 3n, Mobile, AL 36604-1541 | 2005-07-28 |
1093173502 | Physynergy, LLC | Anesthesiology | 3719 Dauphin St, Mobile, AL 36608-1798 | 2016-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326507013 | Cullman Regional Painservices LLC | Anesthesiology | 1912 Al Hwy 157, Cullman, AL 35058-0609 | 2019-03-13 |
1992223838 | Pain Specialists Practice Management, Inc. | Anesthesiology | 300 Medical Center Dr Ste 503, Gadsden, AL 35903-1157 | 2017-08-30 |
1508253550 | Ballard Pain & Wellness Inc | Anesthesiology | 7067 Veterans Pkwy Ste 210, Pell City, AL 35125-5128 | 2015-04-16 |
1558506881 | Medical Pain Management,pc | Anesthesiology | 701 Leighton Avenue, Anniston, AL 35207-5745 | 2008-12-16 |
1134332539 | William Ricardo Montiel | Anesthesiology | 554 Mcqueen Smith Rd N, Prattville, AL 36066-5558 | 2007-05-08 |
1902987431 | Ahmad Shikhtholth | Anesthesiology | 2208 Danville Rd Sw, Suite G, Decatur, AL 35601-4603 | 2006-10-18 |
1225041718 | Eric Robinson | Anesthesiology | 829 North Dean Rd., Suite 100, Auburn, AL 36830 | 2006-08-14 |
1841240926 | James E Flowers Md PC | Anesthesiology | 400 North Edwards St, Anesthesia Dept, Enterprise, AL 36330 | 2006-05-11 |
1073590170 | Hugh Gilbert Maddox Jr. | Anesthesiology | 1309 Quintard Ave, Anniston, AL 36201-4619 | 2005-12-29 |
1073599023 | Unal Tutak | Anesthesiology | 513 Brookwood Blvd, Suite 101, Birmingham, AL 35209-6862 | 2005-12-21 |
Find all providers with the same taxonomy |
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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.