Organization Active NPI

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

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

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1265613244
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME64972 Issued in FL
Legal business name
KENNETH A. NEIFIELD, M.D., P.L.
Doing business as
Kenneth A. Neifeld, M.D.
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
Last updated
Jan 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME64972 FL Primary

Addresses

Primary practice location

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

Mailing address

2191 9TH Ave N
Suite 110
Saint Petersburg, FL 33713-7147
Phone (727) 820-7778

Other names 1

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

National Provider Directory

National Provider Directory

Locations

1099 5th Ave N
Ste 130
St Petersburg, FL 33705
Phone (727) 820-7778

1099 5th Ave N
Ste 220
St Petersburg, FL 33705
Phone (727) 820-7756

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth A. Neifeld, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.