Organization Active NPI

Mary J King DO PA

  • Internal Medicine Physician
  • Largo, FL
National Provider Identifier
1285000125
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARY J KING DO PA
Practice address
10225 Ulmerton Rd
Suite 1a
Largo, FL 33771-3538
Phone
(727) 585-7408
Fax
(727) 585-3483
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Sue Shoneck
Title
Billing Manager
Phone
(727) 581-4849

Specialties & licenses 1

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

Addresses

Primary practice location

10225 Ulmerton Rd
Suite 1a
Largo, FL 33771-3538

Mailing address

10225 Ulmerton Rd
1B
Largo, FL 33771-3538
Phone (727) 581-4849

National Provider Directory

National Provider Directory

Locations

12629 Ulmerton Rd
Largo, FL 33774
Phone (727) 593-8700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1285000125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD",
            "address_2": "1B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-581-4849",
            "fax_number": "727-584-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 ULMERTON RD",
            "address_2": "SUITE 1A",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713538",
            "telephone_number": "727-585-7408",
            "fax_number": "727-585-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY J KING DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "SHONECK",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "727-581-4849"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.