St Pete ENT LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME90004 Issued in FL

Legal business name

ST PETE ENT LLC

Practice address

2299 9TH Ave N
Suite 3B
St Petersburg, FL 33713-6800

Phone

(727) 321-3344

Fax

(727) 321-3236

NPI assigned

Oct 17, 2006

Last updated

Mar 14, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia A Gilroy, M DNPI 1255439865

Title

Owner

Phone

(727) 321-3344

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia A Gilroy, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • St Petersburg, FL
  • NPI 1255439865
  Medicare reassignment NPD Authorized official
• Hannah R Latham

  • Surgical Physician Assistant
  • St Petersburg, FL
  • NPI 1659969772
  NPD
• Alan Gall, M.D.

  • Otolaryngology Physician
  • St Petersburg, FL
  • NPI 1154586485
  NPD (past)
• Emily Earle Lenhardt, PA-C

  • Surgical Physician Assistant
  • St Petersburg, FL
  • NPI 1245530468
  NPD (past)
• Julie Nicole Wiley, AU.D.

  • Audiologist
  • Tarpon Springs, FL
  • NPI 1790988731
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1023198355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 9TH AVE N",
            "address_2": "SUITE 3B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136800",
            "telephone_number": "727-321-3344",
            "fax_number": "727-321-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 9TH AVE N",
            "address_2": "SUITE 3B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136800",
            "telephone_number": "727-321-3344",
            "fax_number": "727-321-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETE ENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "GILROY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-321-3344",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME90004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269742400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley St Juste, NCC, ED.S., M.ED.,
• St Marys Family Practice Center
• St Pete Behavioral Health Center Inc
• St Pete Care at Home LLC
• St Pete Compounding Pharmacy
• St Pete Optical Inc
• St Pete Spinal Care LLC (Stanley D Grimmel DC)
• St Petersburg Ambulatory Surgery Center LLC
• St Petersburg Arthritis Center PA
• St Petersburg Chiropractic PLLC

• Specialist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.