JENNIFER D. GAITLEY M.D. – NPI #1528321569
Pediatrics

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.

JENNIFER GAITLEY is a physician located in PHOENIX, AZ. NPPES has assigned the NPI number 1528321569 to JENNIFER GAITLEY on June 22, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080S0010X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Sports Medicine

The NPI profile was previously updated about 5 years ago on Dec 10, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER GAITLEY below.

NPI Profile for
JENNIFER D. GAITLEY

NPI Number
1528321569
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER D. GAITLEY
Credentials
M.D.
Primary location
1919 E THOMAS RD FL 2
PHOENIX, AZ 85016-7710
Phone: (602) 933-3033 Fax: (602) 933-4311
3 Other location(s):
1918 Randolph Rd Ste 700
Charlotte, NC 28207-1167
Phone: (704) 384-1056
201 Queens Rd
Charlotte, NC 28204-3217
Phone: (704) 316-1070
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone: (216) 844-1602
Mailing address
3200 E CAMELBACK RD STE 250
PHOENIX, AZ 85018-2327
Phone: (602) 933-1814 Fax: (602) 933-8972
Sole Proprietor
No
Updated
Certification Date
Sep 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080S0010X
- Pediatrics / Sports Medicine (Primary)
AZ 60285
208000000X
- Pediatrics
NC 2017-02087

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
11100 EUCLID AVE,
CLEVELAND, OH 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.