JOHN L GAINES JR MD PA (NPI# 1467524298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467524298 |
| Entity Type | Organization |
| Organization Name | JOHN L GAINES JR MD PA |
| Other Organization Name | JOHN L GAINES JR MD |
| Practice Address |
530 Zeagler Dr Ste A Palatka FL 32177-6855 |
| Practice Telephone | 3863288358 |
| Practice Fax Number | 3863250635 |
| Mailing Telephone | 3863288358 |
| Mailing Fax Number | 3863250635 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | JOHN L GAINES JR. (PRESIDENT) |
| Authorized Official Telephone | 3863288358 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME38167 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIV NPI | 1508847021 | 01 | |
| FL | 065427200 | 05 | |
| FL | BLUE CROSS/BLUE SHIELD | 54048 | 01 |
| FL | RAILROAD MEDICARE | 110158966 | 01 |
| Other Name | Type Code |
|---|---|
| John L Gaines Jr MD | Other Name - Individual/Organization |
| Street Address |
530 ZEAGLER DR STE A |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-6855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717470 | Miguel M Limeres Jr. | Internal Medicine | 530 Zeagler Dr, Suite 102, Palatka, FL 32177-6856 | 2005-08-22 |
| 1609268077 | Miles C Anderson, Md | Internal Medicine | 530 Zeagler Dr, Suite A, Palatka, FL 32177-6855 | 2015-02-23 |
| 1932271541 | John Alan Walsh | Surgery | 530 Zeagler Dr, Suite 3, Palatka, FL 32177-6855 | 2006-11-15 |
| 1275589152 | John A Walsh Md Pa | Specialist | 530 Zeagler Dr, Suite A, Palatka, FL 32177-6855 | 2006-05-25 |
| 1811965189 | Alfreda Rennae Marshall | Nurse Practitioner | 530 Zeagler Dr, Suite #2, Palatka, FL 32177-6855 | 2006-03-10 |
| 1508847021 | John L Gaines Jr. | Internal Medicine | 530 Zeagler Dr, Suite A, Palatka, FL 32177-6855 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477027415 | Gregory Jarrette | Internal Medicine | 320 Zeagler Dr Ste 3, Palatka, FL 32177-6854 | 2019-01-13 |
| 1922320803 | Iftikhar Ahmad M.d P.a. | Internal Medicine | 520 Zeagler Dr, Palatka, FL 32177-3813 | 2010-02-19 |
| 1407042948 | Seijas Medical Center Inc | Internal Medicine | 411 Saint Johns Ave, Palatka, FL 32177-4724 | 2007-09-19 |
| 1255479515 | Karen Ruth Okelly | Internal Medicine | 400 N State Road 19, Suite 48, Palatka, FL 32177-2482 | 2007-02-01 |
| 1184671844 | Jack M. Matheny II, M.d. | Internal Medicine | 205 Zeagler Dr, Ste 101, Palatka, FL 32177-3888 | 2006-05-28 |
| 1265414171 | Jack H Soliman | Internal Medicine | 6100 St Johns Ave, Suite A, Palatka, FL 32177-3813 | 2005-11-16 |
| 1194717470 | Miguel M Limeres Jr. | Internal Medicine | 530 Zeagler Dr, Suite 102, Palatka, FL 32177-6856 | 2005-08-22 |
| 1528066230 | Abdul L. Bhatti | Internal Medicine | 524 Zeagler Dr, Palatka, FL 32177-3813 | 2005-07-07 |
| 1609268077 | Miles C Anderson, Md | Internal Medicine | 530 Zeagler Dr, Suite A, Palatka, FL 32177-6855 | 2015-02-23 |
| 1932545175 | Narsimha Candula | Internal Medicine | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2013-05-15 |
| Find all providers in PALATKA | ||||
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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.