SURGICAL GROUP OF GAINESVILLE PA - NPI 1396737615

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 208600000X.

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About Surgical Group Of Gainesville Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL GROUP OF GAINESVILLE PA (NPI 1396737615) is a healthcare organization registered as a surgery in Gainesville, Florida and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Panagiotis Sarantos, President, as its authorized official.

NPPES Registry Identity

NPI1396737615

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSURGICAL GROUP OF GAINESVILLE PA

Location Address1143 NW 64TH TERGainesville, FL 32605-4218

Mailing Address1143 Nw 64th TerGainesville, FL 32605-4218 · (352) 331-1201 · Fax (352) 331-5273

Phone(352) 331-1201

Fax(352) 331-5273

Organization SubpartNo

Authorized OfficialPanagiotis SarantosPresident · (352) 331-1201

Enumeration DateAugust 23, 2005

Last NPPES UpdateApril 25, 2012

✔ NPI 1396737615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME0060950

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1143 NW 64TH TER, Gainesville, FL 32605

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Other Identifiers 2

Medicare ID-Type Unspecified21536FL

Medicaid253318901FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2184735

Surgical Group Of Gainesville PA · Gainesville, FL

Active · expires May 23, 2028

CLIA Number10D2184735

Laboratory TypePhysician Office

Certificate Effective DateMay 24, 2026

Certificate Expiration DateMay 23, 2028

Laboratory DirectorPanagiotis Sarantos

Laboratory Phone(352) 331-1201

Laboratory LocationSurgical Group Of Gainesville PA1143 NW 64th Terr, Gainesville, FL 32605

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. N EARLE PICKENS MD

Surgery