St. Petersburg General Surgery LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ST. PETERSBURG GENERAL SURGERY LLC

Practice address

6450 38TH Ave N
Suite 410
St Petersburg, FL 33710-1645

Phone

(727) 344-4200

Fax

(727) 344-4221

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Gary Duncan

Title

VP

Phone

(561) 548-1089

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph Angelo Dematteis, M.D.

  • Vascular Surgery Physician
  • St Petersburg, FL
  • NPI 1346219698
  NPD (past)
• Teresa Dudek Goodpaster, MD

  • Surgery Physician
  • Marianna, FL
  • NPI 1801882428
  NPD (past)
• Thomas A Tirone, MD

  • Surgery Physician
  • Clearwater, FL
  • NPI 1053387787
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1033243274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARYLAND FARMS",
            "address_2": "SUITE 250",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275005",
            "telephone_number": "800-661-3365",
            "fax_number": "866-689-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SUITE 410",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101645",
            "telephone_number": "727-344-4200",
            "fax_number": "727-344-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETERSBURG GENERAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "561-548-1089"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Petersburg Dental Implant Center
• St. Petersburg Dermatology, LLC
• St. Petersburg Endoscopy Center LLC
• St. Petersburg Free Clinic
• St. Petersburg General Hospital
• St. Petersburg Nursing and Rehabilitation, LLC
• St. Petersburg Nutrition LLC
• St. Petersburg Operator LLC
• St. Petersburg Outpatient Surgery Center, LLC
• St. Petersburg Primary Care Associates

• Surgery Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.