Medical Group of Pinellas, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MEDICAL GROUP OF PINELLAS, PA

Doing business as

Northeast Pediatrics

Practice address

431 Southwest Blvd N
St Petersburg, FL 33703-1399

Phone

(727) 526-7337

Fax

(727) 528-7337

NPI assigned

Oct 27, 2009

Organization subpart

No

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

Authorized official

Name

Bhumi M Upadhyay, M.D.

Title

Director

Phone

(727) 526-7337

Specialties & licenses 1

Addresses

Other names 1

• Northeast Pediatrics Doing business as

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1174859052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SOUTHWEST BLVD N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337036822",
            "telephone_number": "727-526-7337",
            "fax_number": "727-528-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SOUTHWEST BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031399",
            "telephone_number": "727-526-7337",
            "fax_number": "727-528-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF PINELLAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "UPADHYAY",
        "authorized_official_first_name": "BHUMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-526-7337",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.