Active NPI
Alan Gall, M.D.
- Otolaryngology Physician
- Saint Petersburg, FL
National Provider Identifier
1154586485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME32421
- Practice address
- 2010 Park Street North
Saint Petersburg, FL 33710 - Phone
- (727) 398-9539
- NPI assigned
- Jul 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME32421 | FL | Primary |
Addresses
Primary practice location
2010 Park Street North
Saint Petersburg, FL 33710
Mailing address
2010 Park St N
Saint Petersburg, FL 33710-3604
Phone (727) 384-0172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME32421 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Pete ENT LLC | Past | Accepting new patients | |
| St Petersburg Ear Nose & Throat Ctr LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- St Petersburg, FL
- NPI 1023198355
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- Facial Plastic Surgery Physician
- St Petersburg, FL
- NPI 1518044288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1154586485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 PARK ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337103604",
"telephone_number": "727-384-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 PARK STREET NORTH",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "33710",
"telephone_number": "727-398-9539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALL",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-25",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME32421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.