Beyond Geriatrics, LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

BEYOND GERIATRICS, LLC

Practice address

1227 S Myrtle Ave
Clearwater, FL 33756-3469

Phone

(727) 939-6196

Fax

(727) 350-9396

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Kimberley D Evans, MD

Title

Owner

Phone

(727) 939-6196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1134539653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 S MYRTLE AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563469",
            "telephone_number": "727-939-6196",
            "fax_number": "727-350-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 S MYRTLE AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563469",
            "telephone_number": "727-939-6196",
            "fax_number": "727-350-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND GERIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-939-6196",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.