Organization Active NPI

Family Medical Care of St Petersburg

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1265488217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL CARE OF ST PETERSBURG
Practice address
3745 33Rd St N
St Petersburg, FL 33713-1556
Phone
(727) 525-0006
Fax
(727) 521-3694
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chitra Ravindra, M.D.
Title
Partner
Phone
(727) 525-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3745 33Rd St N
St Petersburg, FL 33713-1556

Mailing address

3745 33Rd St N
St Petersburg, FL 33713-1556
Phone (727) 525-0006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265488217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 33RD ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337131556",
            "telephone_number": "727-525-0006",
            "fax_number": "727-521-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 33RD ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337131556",
            "telephone_number": "727-525-0006",
            "fax_number": "727-521-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE OF ST PETERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAVINDRA",
        "authorized_official_first_name": "CHITRA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "727-525-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.