Organization Active NPI

Kerry Sanchez MD PA

  • Internal Medicine Physician
  • Seminole, FL
National Provider Identifier
1053873729
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KERRY SANCHEZ MD PA
Practice address
9323 Pebble Beach CT E
Seminole, FL 33777-4532
Phone
(727) 954-0671
NPI assigned
Apr 2, 2019
Last updated
Apr 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Kerry Cadogan, MD
Title
President
Phone
(727) 954-0671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

9323 Pebble Beach CT E
Seminole, FL 33777-4532

Mailing address

2410 Northside Dr
Clearwater, FL 33761-2236
Phone (727) 499-0351

Other identifiers 1

IdentifierTypeStateIssuer
12551900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1053873729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 NORTHSIDE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612236",
            "telephone_number": "727-499-0351",
            "fax_number": "727-781-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9323 PEBBLE BEACH CT E",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337774532",
            "telephone_number": "727-954-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY SANCHEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "CADOGAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-954-0671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12551900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.