Kenneth a. Neifield, M.D., P.L.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME64972 Issued in FL

Legal business name

KENNETH A. NEIFIELD, M.D., P.L.

Practice address

2191 9TH Ave N
Suite 110
Saint Petersburg, FL 33713-7147

Phone

(727) 820-7778

Fax

(727) 820-7779

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Tatiana Chumbley

Title

Administrator

Phone

(727) 498-8699

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kenneth A. Neifeld, M.D. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Freddie L McRae, MD

  • Specialist
  • St. Petersburg, FL
  • NPI 1205825353
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1265613244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N",
            "address_2": "SUITE 110",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137147",
            "telephone_number": "727-820-7778",
            "fax_number": "727-820-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N",
            "address_2": "SUITE 110",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337137147",
            "telephone_number": "727-820-7778",
            "fax_number": "727-820-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A. NEIFIELD, M.D., P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "CHUMBLEY",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-498-8699"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME64972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373852300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth A. Neifeld, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Davis Kennedy, M.D.
• Stephen Joseph Kennedy, M.D.
• Stephen Rogers Kennedy, MD
• Victoria Rose Kennedy, RN
• Wanderly Casali Kennedy, BA, CPRP
• Kenneth R. Reinhart D.C. PA
• Dana Kensky, RDN
• Sophia Kent, MA
• Summer Simone Kent, PA-C
• Pricilla Kylie Keomek

• Internal Medicine Physician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.