Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Jennifer Danielle Gaitley, MD

Individual provider Pediatrics Physician · NPI 1528321569

Miss. Jennifer Danielle Gaitley, MD is a Sports Medicine in Phoenix, Arizona. Graduated from Wayne State University School of Medicine in 2012, 14 years ago. Practices with Phoenix Children's Hospital, a 430-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona and North Carolina.

Years since qualifying
14
Trained at
Wayne State University School of Medicine
Licensed in
AZ, NC
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1919 E Thomas Rd Fl 2
Phoenix, AZ 85016-7710
Phone: (602) 933-3033
Fax: (602) 933-4311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 201 Queens Rd, Charlotte, NC 28204-3217 — (704) 316-1070
  • 1918 Randolph Rd Ste 700, Charlotte, NC 28207-1167 — (704) 384-1056
  • 11100 Euclid Ave, Cleveland, OH 44106-1716 — (216) 844-1602

Specialties & licences

Pediatric Sports Medicine Physician (primary) Taxonomy 2080S0010X · Licence 60285 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 2017-02087 (NC)
Pediatric Sports Medicine Physician Taxonomy 2080S0010X · Licence 2017-02087 (NC)

Record details

NPI number1528321569
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2012
Last updated in NPPESDecember 10, 2020
Certification dateSeptember 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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