G.a. Machacek D.C. Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0004024 Issued in FL

Legal business name

G.A. MACHACEK D.C. INC.

Doing business as

Physicians Spine & Wellness Center

Practice address

2201 58TH St N
St Petersburg, FL 33710-4236

Phone

(727) 347-7827

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gilbert A. Machacek, D.C.

Title

Owner

Phone

(727) 347-7827

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physicians Spine & Wellness Center Doing business as

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1306012430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 58TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104236",
            "telephone_number": "727-347-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 58TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104236",
            "telephone_number": "727-347-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.A. MACHACEK D.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MACHACEK",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-347-7827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380788600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Spine & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Future Days Counseling LLC
• Michelle L Fynan
• G Stanford Pierce DC PA (Pierce Clinic of Chiropractic)
• G Timothy Petito OD PA
• G.a. Food Services of Pinellas County, LLC
• Ronald James Gabriau, SW
• Gabriel Hurst Prosthetics, LLC (All About Prosthetics)
• Janna Leigh Gaburo
• Evelyn B Gador, MD
• Patricia Gaffen, M.S., OTR/L

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.