DR. GERALD ANTHONY MASTAW JR.


Address: 1924k Dauphin Island Pkwy, Mobile, AL 36605-3004
Phone: 2513089800

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
4457 Bayou Blvd, Pensacola, FL 325032601 8502266801 8502266801

Office Location

Street Address 1924K DAUPHIN ISLAND PKWY
City MOBILE
State AL
Zip Code 36605-3004

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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City MOBILE
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Dataset Information

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.

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