Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GERALD ANTHONY MASTAW JR. MD
Complete NPI Record 1316993454
Anesthesiology - Pain Medicine in Land O Lakes, FL

Name: Complete NPI 1316993454 Record Table
Creator: NPI Profile
License: https://www.cms.gov/data-research/cms-data/data-available-everyone

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment

91.77/100

CMS Quality Rating

16703 EARLY RISER AVE, LAND O LAKES, FL 34638(844) 387-2476(844) 387-2476 Get Directions

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 30, 2026, Jan 28, 2026, Feb 22, 2025 and 2 more (5 updates tracked since 2019).

Complete NPI Dataset

This page contains the complete raw NPPES record for Dr. Gerald Anthony Mastaw Jr., MD (NPI 1316993454), an individual anesthesiology provider in Land O Lakes, FL. All 47 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

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NPI: 1316993454: The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1: Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal Name: MASTAW: The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: GERALD: The first name of the provider, if the provider is an individual.
Provider Middle Name: ANTHONY: The middle name of the provider, if the provider is an individual.
Provider Name Prefix Text: DR.: The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Name Suffix Text: JR.: The name suffix of the provider if the provider is an individual. The name suffix is a "generation-related" suffix, such as Jr., Sr., II, III, IV, or V.
Provider Credential Text: MD: The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Other Last Name: MASTAW: Other last name by which the provider being identified is or has been known.
Provider Other First Name: JERRY: Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
Provider Other Credential Text: MD: The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Other Last Name Type Code: 5: Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 495 GRAND BLVD STE 206: The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: MIRAMAR BEACH: The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: FL: The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 325501897: The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US: The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 7343895832: The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 8134899562: The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 16703 EARLY RISER AVE: The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LAND O LAKES: The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: FL: The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 346380192: The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US: The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8443872476: The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8443872476: The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/26/2006: The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 7/30/2026: The date that a record was last updated or changed.
Provider Gender Code: M: The code designating the provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 207L00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 4301076665: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 1: MI: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 1: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 2: 207LP2900X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 2: MD38433: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 2: AL: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 2: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 3: 207L00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 3: 200400382: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 3: NC: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 3: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 4: 207LP2900X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 4: ME 108549: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 4: FL: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 4: Y: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Sole Proprietor: N: Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
NPI Certification Date: 7/30/2026: The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

Secondary Practice Locations 36

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

5547 Veterans Pkwy Fl 12

1/36

Columbus, GA 31904-4484 · Phone (844) 387-2476 · Fax (844) 387-2476

3999 Commons Dr W Ste B

2/36

Destin, FL 32541-8446 · Phone (844) 387-2476 · Fax (844) 387-2476

2911 TURTLE CREEK BLVD STE 925

3/36

DALLAS, TX 75219-6292 · Phone (844) 387-2476 · Fax (844) 387-2476

9001 Estate Thomas Suite 102

4/36

Charlotte Amalie VI, VI 00802 · Phone (844) 387-2476 · Fax (844) 387-2476

400 Renaissance Ctr

5/36

Detroit, MI 48243-1502 · Phone (844) 387-2476 · Fax (844) 387-2476

3030 N Rocky Point Dr W Ste 665

6/36

Tampa, FL 33607-5906 · Phone (844) 387-2476 · Fax (844) 387-2476

312 S 4th St Ste 700

7/36

Louisville, KY 40202-3046 · Phone (844) 387-2476 · Fax (844) 387-2476

2411 N Oak St Ste 200

8/36

Myrtle Beach, SC 29577-3164 · Phone (844) 387-2476 · Fax (844) 387-2476

424 Church St Ste 2000

9/36

Nashville, TN 37219-3304 · Phone (844) 387-2476 · Fax (844) 387-2476

1320 Main St Ste 300

10/36

Columbia, SC 29201-3266 · Phone (844) 387-2476 · Fax (844) 387-2476

400 W Capitol Ave Ste 1700

11/36

Little Rock, AR 72201-3438 · Phone (844) 387-2476 · Fax (844) 387-2476

654 Ave Luis Munoz Rivera Ste 600

12/36

San Juan, PR 00918-4123 · Phone (844) 387-2476 · Fax (844) 387-2476

7027 Old Madison Pike NW

13/36

Huntsville, AL 35806-2368 · Phone (844) 387-2476 · Fax (844) 387-2476

5011 Gate Pkwy Bldg 100

14/36

Jacksonville, FL 32256-0830 · Phone (844) 387-2476 · Fax (844) 387-2476

321 S Boston Ave Ste 300

15/36

Tulsa, OK 74103-3311 · Phone (844) 387-2476 · Fax (844) 387-2476

1001 SW C Ave Ste 300

16/36

Lawton, OK 73501-4323 · Phone (844) 387-2476 · Fax (844) 387-2476

233 N Houston Rd Ste 140

17/36

Warner Robins, GA 31093-3074 · Phone (844) 387-2476 · Fax (844) 387-2476

Metro Office Park # 2

18/36

Guaynabo, PR 00968-1704 · Phone (844) 387-2476 · Fax (844) 387-2476

495 Grand Blvd Ste 206

19/36

Miramar Beach, FL 32550-1897 · Phone (734) 389-5832 · Fax (813) 489-9562

8909 UNIVERSITY PKWY SUITE A

20/36

Pensacola, FL 32514 · Phone (844) 387-2476 · Fax (844) 387-2476

11911 N Dale Mabry Hwy

21/36

Tampa, FL 33618-3507 · Phone (844) 387-2476 · Fax (844) 387-2476

4413 US Highway 331 S

22/36

Defuniak Springs, FL 32435-6307 · Phone (844) 387-2476 · Fax (844) 387-2476

3340 Peachtree Rd NE Ste 1800

23/36

Atlanta, GA 30326-1064 · Phone (844) 387-2476 · Fax (844) 387-2476

995 Mar Walt Dr

24/36

Fort Walton Beach, FL 32547-6758 · Phone (844) 387-2476 · Fax (844) 387-2476

2333 W Hillsborough Ave Ste 120

25/36

Tampa, FL 33603-1059 · Phone (844) 387-2476 · Fax (844) 387-2476

2700 Corporate Dr

26/36

Birmingham, AL 35242-2732 · Phone (844) 387-2476 · Fax (844) 387-2476

6320 Venture Dr Ste 201

27/36

Lakewood Ranch, FL 34202-5132 · Phone (844) 387-2476 · Fax (844) 387-2476

604 Robin Rd Ste 1

28/36

Lakeland, FL 33803-4837 · Phone (844) 387-2476 · Fax (844) 387-2476

311 SE 29th Pl

29/36

Ocala, FL 34471-0487 · Phone (844) 387-2476 · Fax (844) 387-2476

3760 NW 83rd St Ste 3

30/36

Gainesville, FL 32606-6020 · Phone (844) 387-2476 · Fax (844) 387-2476

12202 Cortez Blvd

31/36

Brooksville, FL 34613-2630 · Phone (844) 387-2476 · Fax (844) 387-2476

125 S Congress St Ste 1325

32/36

Jackson, MS 39201-3301 · Phone (844) 387-2476 · Fax (844) 387-2476

1000 Belcher Rd S Ste A6

33/36

Largo, FL 33771-3321 · Phone (844) 387-2476 · Fax (844) 387-2476

2202 N West Shore Blvd Ste 200

34/36

Tampa, FL 33607-5749 · Phone (844) 387-2476 · Fax (844) 387-2476

701 Brickell Ave Ste 1550

35/36

Miami, FL 33131-2824 · Phone (844) 387-2476 · Fax (844) 387-2476

7408 Lake Worth Rd Ste 900

36/36

Lake Worth, FL 33467-2502 · Phone (844) 387-2476 · Fax (844) 387-2476

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