NPIMap

Organization Active NPI

West Florida Medical Associates, PA

  • Internal Medicine Physician
  • Inglis, FL
National Provider Identifier
1053567487
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0060472 Issued in FL
Legal business name
WEST FLORIDA MEDICAL ASSOCIATES, PA
Practice address
41 N Inglis Ave
Inglis, FL 34449-9463
Phone
(352) 447-3031
Fax
(352) 447-1705
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Rajendra Bellam, MD
Title
Physican
Phone
(352) 447-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME0060472 FL Primary

Addresses

Primary practice location

41 N Inglis Ave
Inglis, FL 34449-9463

Mailing address

PO Box 640573
Beverly Hills, FL 34464-0573
Phone (352) 746-1558

National Provider Directory

National Provider Directory
Tax ID family
Lri Medical28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFBCCD

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1053567487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640573",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344640573",
            "telephone_number": "352-746-1558",
            "fax_number": "352-746-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N INGLIS AVE",
            "city": "INGLIS",
            "state": "FL",
            "postal_code": "344499463",
            "telephone_number": "352-447-3031",
            "fax_number": "352-447-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BELLAM",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "352-447-3031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0060472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.