NPIMap

Organization Active NPI

SC Physicians LLC

  • Ambulatory Surgical Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1346549292
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
790 Issued in FL
Legal business name
SC PHYSICIANS LLC
Practice address
601 7TH St S
St Petersburg, FL 33701-4704
Phone
(727) 824-8357
Fax
(727) 824-3132
NPI assigned
Mar 17, 2011
Last updated
Jan 26, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SC PHYSICIANS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Authorized official

Name
Ms. Lynda A Gorken
Title
VP, PFS
Phone
(727) 532-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 790 FL Primary

Addresses

Primary practice location

601 7TH St S
St Petersburg, FL 33701-4704

Mailing address

PO Box 12868
St Petersburg, FL 33733-2868
Phone (727) 532-0002

National Provider Directory

National Provider Directory
Part of
SC Physicians LLC

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1201 5th Ave N
Ste 204
St Petersburg, FL 33705
Phone (727) 824-3189

1201 5th Ave N
Ste 309
St Petersburg, FL 33705
Phone (727) 824-3189

12450 Roosevelt Blvd N
Ste 308
St Petersburg, FL 33716
Phone (727) 572-0900

2201 Central Ave
Ste 201
St Petersburg, FL 33713
Phone (727) 824-7132

400 6th St S
Ste 2
St Petersburg, FL 33701
Phone (727) 821-2117

7751 9th St N
Ste 10
St Petersburg, FL 33702
Phone (727) 521-2424

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1346549292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12868",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337332868",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 7TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014704",
            "telephone_number": "727-824-8357",
            "fax_number": "727-824-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SC PHYSICIANS LLC",
        "enumeration_date": "2011-03-17",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "GORKEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP, PFS",
        "authorized_official_telephone_number": "727-532-1355",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 26, 2018; 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.