Organization Active NPI

St. Petersburg Surgical Specialist

  • Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1033744818
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ST. PETERSBURG SURGICAL SPECIALIST
Practice address
601 7TH St S Ste 495
St Petersburg, FL 33701-4746
Phone
(727) 580-0336
NPI assigned
Mar 11, 2020
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
James A Westervelt, MDNPI 1851387906
Title
Owner
Phone
(727) 580-0336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

601 7TH St S Ste 495
St Petersburg, FL 33701-4746

Mailing address

5830 Leeland St S
St Petersburg, FL 33715-1634
Phone (727) 580-0336

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL admin@stpsurgical.com

National Provider Directory

National Provider Directory

Locations

601 7th St S
Ste 495
St Petersburg, FL 33701
Phone (727) 289-5932

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1033744818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 LEELAND ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337151634",
            "telephone_number": "727-580-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 7TH ST S STE 495",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014746",
            "telephone_number": "727-580-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETERSBURG SURGICAL SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "WESTERVELT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-580-0336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@stpsurgical.com",
            "affiliation": "N",
            "address_1": "601 7th St S Ste 495",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337014746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 11, 2020; 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.