Active NPI
Ahmad Nematbakhsh DO LLC
- Orthopaedic Surgery Physician
- St Petersburg, FL
National Provider Identifier
1003098641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OS9206
- Legal business name
- AHMAD NEMATBAKHSH DO LLC
- Practice address
- 5800 49TH St N Ste 204S
St Petersburg, FL 33709-2100 - Phone
- (727) 528-6100
- Fax
- (727) 528-7895
- NPI assigned
- Dec 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Spindel
- Title
- Office Manager
- Phone
- (727) 528-6100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OS9206 | FL | Primary |
Addresses
Primary practice location
5800 49TH St N Ste 204S
St Petersburg, FL 33709-2100
Mailing address
5800 49TH St N Ste 204S
St Petersburg, FL 33709-2100
Phone (727) 528-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269694100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252368000000",
"number": "1003098641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 49TH ST N STE 204S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092100",
"telephone_number": "727-528-6100",
"fax_number": "727-528-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 49TH ST N STE 204S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092100",
"telephone_number": "727-528-6100",
"fax_number": "727-528-7895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHMAD NEMATBAKHSH DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2009-09-08",
"status": "A",
"authorized_official_last_name": "SPINDEL",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "727-528-6100"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "OS9206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269694100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.