DR. GERALD ANTHONY MASTAW MD NPI 1316993454

NPI Information

  • NPI: 1316993454
  • Provider Name: DR. GERALD ANTHONY MASTAW, MD
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3997 COMMONS DR W STE M
    DESTIN, FL
    ZIP 32541
  • Phone: (850) 424-3769

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NPI Details

DR. Gerald Anthony Mastaw, MD is a pain medicine anesthesiology in Destin, FL with 26 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Gerald Anthony Mastaw, MD NPI is 1316993454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2000

The provider's business location address is:

3997 COMMONS DR W STE M
DESTIN, FL
ZIP 32541-444
Phone: (850) 424-3769
Fax: (850) 460-2491

The NPI 1316993454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 2/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology4301076665MICHIGANNo
2207L00000XAnesthesiology200400382NORTH CAROLINANo
3207LP2900XAnesthesiologyPain MedicineMD38433ALABAMANo
4207LP2900XAnesthesiologyPain MedicineME 108549FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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