Organization Active NPI

David M McKalip MD PA

  • Neurological Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1194898346
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME81052 Issued in FL
Legal business name
DAVID M MCKALIP MD PA
Practice address
1955 1St Avenue North
Suite 101
Saint Petersburg, FL 33713-8907
Phone
(727) 822-3500
Fax
(727) 822-3228
NPI assigned
Nov 16, 2006
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. David Michael McKalip, MD
Title
President
Phone
(727) 822-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X ME81052 FL Primary

Addresses

Primary practice location

1955 1St Avenue North
Suite 101
Saint Petersburg, FL 33713-8907

Mailing address

1955 1St Avenue North
Suite 101
Saint Petersburg, FL 33713-8907
Phone (727) 822-3500

Other identifiers 6

IdentifierTypeStateIssuer
217481OtherFLAMERIGROUP
2490288OtherFLAETNA HMO
7373130OtherFLCIGNA
57962OtherFLBCBS
259784500MedicaidFL
5790719OtherFLAETNA MANAGED CARE

National Provider Directory

National Provider Directory

Locations

1955 1st Ave N
Ste 101
St Petersburg, FL 33713
Phone (727) 822-3500

431 Southwest Blvd N
St Petersburg, FL 33703
Phone (727) 527-6200

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1194898346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 1ST AVENUE NORTH",
            "address_2": "SUITE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138907",
            "telephone_number": "727-822-3500",
            "fax_number": "727-822-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 1ST AVENUE NORTH",
            "address_2": "SUITE 101",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138907",
            "telephone_number": "727-822-3500",
            "fax_number": "727-822-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M MCKALIP MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "MCKALIP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-822-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME81052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "217481",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2490288",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7373130",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57962",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259784500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MANAGED CARE",
            "identifier": "5790719",
            "state": "FL"
        }
    ],
    "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 Mar 24, 2015; 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.