Gregorio S Santos MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME0072417 Issued in FL

Legal business name

GREGORIO S SANTOS MD PA

Practice address

6125 54TH Ave N Ste B
Kenneth City, FL 33709-1830

Phone

(727) 521-9467

Fax

(727) 521-0416

NPI assigned

Oct 14, 2010

Last updated

Nov 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregorio S Santos, MDNPI 1417060369

Title

Owner

Phone

(727) 521-9467

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIHGAA

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.

• Gregorio S Santos, MD

  • Internal Medicine Physician
  • Kenneth City, FL
  • NPI 1417060369
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1306156104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 54TH AVE N STE B",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337091830",
            "telephone_number": "727-521-9467",
            "fax_number": "727-521-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 54TH AVE N STE B",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337091830",
            "telephone_number": "727-521-9467",
            "fax_number": "727-521-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORIO S SANTOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "GREGORIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-521-9467",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0072417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Edward Fricks, PHARMD
• Roopa Ganga, M.D.
• Susannah B Gariepy, AU.D.
• Lawrence Earl Geiger III, MS, CCC-SLP
• Kaitlyn Gibree, APRN, FNP-C
• Stanley D Grimmel, D.C.
• Michael S Henderson, R.PH.
• Hood & Hood DC PA (Hood Family Chiropractic Center)
• Idependent Daily Living Services, Inc
• Jacaranda Manor

• Primary Care Clinic/Center in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.