MISS JENNIFER DANIELLE GAITLEY M.D.
NPI 1528321569
Pediatrics - Sports Medicine in Phoenix, AZ

NPI Status: Active since June 22, 2012

Contact Information

1919 E THOMAS RD FL 2
PHOENIX, AZ
ZIP 85016
Phone: (602) 933-3033
Fax: (602) 933-4311

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  • Individual
  • Female
  • Pediatrics
  • Sports Medicine
  • Accepts Insurance
  • PECOS Enrolled

About JENNIFER GAITLEY

This page provides the complete NPI Profile along with additional information for Jennifer Gaitley, a pediatrician established in Phoenix, Arizona with a medical specialization in Pediatrics, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1528321569 assigned on June 2012. The practitioner's primary taxonomy code is 2080S0010X with license number 60285 (AZ). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1528321569
Provider Name
MISS JENNIFER DANIELLE GAITLEY M.D.
Gender
Female
Entity Type
Individual
Location Address
1919 E THOMAS RD FL 2 PHOENIX, AZ 85016
Location Phone
(602) 933-3033
Location Fax
(602) 933-4311
Mailing Address
3200 E CAMELBACK RD STE 250 PHOENIX, AZ 85018
Mailing Phone
(602) 933-1814
Mailing Fax
(602) 933-4311
Is Sole Proprietor?
No
Enumeration Date
06-22-2012
Last Update Date
12-10-2020
Code Navigator

A pediatrician like Jennifer Gaitley is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

  • 1918 Randolph Rd Ste 700
    Charlotte, NC 28207
    (704) 384-1056
  • 11100 Euclid Ave
    Cleveland, OH 44106
    (216) 844-1602
  • 201 Queens Rd
    Charlotte, NC 28204
    (704) 316-1070

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Sports Medicine

Taxonomy Code
2080S0010X
Type
Allopathic & Osteopathic Physicians
License No.
60285
License State
AZ
Taxonomy Description
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

2017-02087 (NC)
22080S0010XAllopathic & Osteopathic Physicians

Pediatrics
Sports Medicine

2017-02087 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
  • Blue EverydayHealth Gold - MaricopaFocus Network - HMO
  • Blue EverydayHealth Silver - MaricopaFocus Network - HMO
  • Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Blue StandardHealth Bronze - MaricopaFocus Network - HMO
  • Blue StandardHealth Gold - MaricopaFocus Network - HMO
  • Blue StandardHealth Silver - MaricopaFocus Network - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jennifer Gaitley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MISS JENNIFER DANIELLE GAITLEY M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528321569
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548622512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 6 + 2 + 2 + 5 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1528321569 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

DR. PATRICIA ANN DRACE M.D.

Orthopaedic Surgery

1919 E THOMAS RD FL 2
PHOENIX, AZ
ZIP 85016

(602) 933-3033

MELISSA ESPARZA M.D.

Orthopaedic Surgery

(Pediatric Orthopaedic Surgery)

1919 E THOMAS RD FL 2
PHOENIX, AZ
ZIP 85016

(602) 933-3033

JESSICA DAVIS BURNS

Orthopaedic Surgery

(Pediatric Orthopaedic Surgery)

1919 E THOMAS RD FL 2
PHOENIX, AZ
ZIP 85016

(602) 933-3033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528321569, enumerated as an "individual" on June 22, 2012.

The provider is located at 1919 E THOMAS RD FL 2 PHOENIX, AZ 85016 and the phone number is (602) 933-3033.

Pediatrics with taxonomy code 2080S0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona and Medica. Please consult your insurance carrier or call the provider to verify.