Active NPI
Govindan P Nair MD PA
- Endocrinology, Diabetes & Metabolism Physician
- St Petersburg, FL
National Provider Identifier
1114160645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME50422
- Legal business name
- GOVINDAN P NAIR MD PA
- Practice address
- 4820 5TH Ave N
St Petersburg, FL 33713-7218 - Phone
- (727) 321-6768
- Fax
- (727) 327-8741
- NPI assigned
- Apr 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Govindan P Nair, MD
- Title
- Officer/Director
- Phone
- (727) 321-6768
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME50422 | FL | Primary |
Addresses
Primary practice location
4820 5TH Ave N
St Petersburg, FL 33713-7218
Mailing address
4820 5TH Ave N
St Petersburg, FL 33713-7218
Phone (727) 321-6768
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006Z | Other | FL | BCBS FL |
| DP0561 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
4820 5th Ave N
St Petersburg, FL 33713
Phone (727) 321-6768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251676800000",
"number": "1114160645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 5TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337137218",
"telephone_number": "727-321-6768",
"fax_number": "727-327-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 5TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337137218",
"telephone_number": "727-321-6768",
"fax_number": "727-327-8741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOVINDAN P NAIR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-14",
"last_updated": "2009-08-31",
"status": "A",
"authorized_official_last_name": "NAIR",
"authorized_official_first_name": "GOVINDAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OFFICER/DIRECTOR",
"authorized_official_telephone_number": "727-321-6768",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME50422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "0006Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DP0561",
"state": null
}
],
"endpoints": [],
"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 Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.