Organization Active NPI

Govindan P Nair MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • St Petersburg, FL
National Provider Identifier
1114160645
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME50422 Issued in FL
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

Updated by the provider on Aug 31, 2009

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0006ZOtherFLBCBS FL
DP0561OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.