St Petersburg Gastroenterology Associates LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

OS10833 Issued in FL

Legal business name

ST PETERSBURG GASTROENTEROLOGY ASSOCIATES LLC

Practice address

1839 Central Ave
St Petersburg, FL 33713-8900

Phone

(727) 820-1040

Fax

(727) 822-8081

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Elie Ayyub

Title

Sole MBR

Phone

(727) 322-1054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1255717641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138723",
            "telephone_number": "727-820-1039",
            "fax_number": "727-822-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-820-1040",
            "fax_number": "727-822-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERSBURG GASTROENTEROLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "AYYUB",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "727-322-1054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS10833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Petersburg Chiropractic PLLC
• St Petersburg Diabetic & Arthritic Foot Center PA
• St Petersburg Ear Nose & Throat Ctr LLC
• St Petersburg Eye Care Specialists P.a.
• St Petersburg Family Care Center
• St Petersburg Kidney Care LLC
• St Petersburg Kidney Care South LLC
• St Petersburg Limb and Brace, Inc.
• St Petersburg Maternal Fetal Medicine Associates
• St Petersburg Medical Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.