Organization Active NPI

Salah Al-Andary M D LLC

  • Pulmonary Disease Physician
  • Largo, FL
National Provider Identifier
1114090479
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
FLME0073452 Issued in FL
Legal business name
SALAH AL-ANDARY M D LLC
Practice address
1920 West Bay Drive
Suite #6
Largo, FL 33770
Phone
(727) 584-1344
Fax
(727) 584-7855
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Ms. Salah F Al Andary, MD
Title
Owner
Phone
(727) 584-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X FLME0073452 FL Primary

Addresses

Primary practice location

1920 West Bay Drive
Suite #6
Largo, FL 33770

Mailing address

1920 West Bay Drive
Suite #6
Largo, FL 33770
Phone (727) 584-1344

Other identifiers 1

IdentifierTypeStateIssuer
252165200MedicaidFL

National Provider Directory

National Provider Directory

Locations

1920 West Bay Dr
Ste 6
Largo, FL 33770
Phone (727) 584-1344

Practitioners & affiliated clinicians

Practitioners 2

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1114090479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 WEST BAY DRIVE",
            "address_2": "SUITE #6",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33770",
            "telephone_number": "727-584-1344",
            "fax_number": "727-584-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 WEST BAY DRIVE",
            "address_2": "SUITE #6",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33770",
            "telephone_number": "727-584-1344",
            "fax_number": "727-584-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAH AL-ANDARY M D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "AL ANDARY",
        "authorized_official_first_name": "SALAH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-584-1344",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "FLME0073452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252165200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.