Organization Active NPI

Pinellas Nursing Home PA

  • Internal Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1083069272
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME77230 Issued in FL
Legal business name
PINELLAS NURSING HOME PA
Practice address
2595 Tampa Rd Ste D
Palm Harbor, FL 34684-3130
Phone
(727) 773-8884
Fax
(727) 784-5449
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Pankaj K Joshi, M.D.
Title
Physician
Phone
(727) 773-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME77230 FL Primary

Addresses

Primary practice location

2595 Tampa Rd Ste D
Palm Harbor, FL 34684-3130

Mailing address

2595 Tampa Rd Ste D
Palm Harbor, FL 34684-3130
Phone (727) 773-8884

National Provider Directory

National Provider Directory

Locations

2595 Tampa Rd
Ste D
Palm Harbor, FL 34684
Phone (727) 773-8884

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1083069272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD STE D",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843130",
            "telephone_number": "727-773-8884",
            "fax_number": "727-784-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD STE D",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843130",
            "telephone_number": "727-773-8884",
            "fax_number": "727-784-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELLAS NURSING HOME PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-773-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.