Organization Active NPI

Genesis Surgery Center of Florida, LLC

  • Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1356152177
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GENESIS SURGERY CENTER OF FLORIDA, LLC
Practice address
625 6TH Ave S Ste 475
Saint Petersburg, FL 33701-4637
Phone
(727) 518-2977
Fax
(727) 518-0010
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Melissa Meininger
Title
Practice Manager
Phone
(727) 240-1935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

625 6TH Ave S Ste 475
Saint Petersburg, FL 33701-4637

Mailing address

625 6TH Ave S Ste 475
Saint Petersburg, FL 33701-4637
Phone (727) 518-2977

National Provider Directory

National Provider Directory

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": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1356152177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 475",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014637",
            "telephone_number": "727-518-2977",
            "fax_number": "727-518-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 475",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014637",
            "telephone_number": "727-518-2977",
            "fax_number": "727-518-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS SURGERY CENTER OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "MEININGER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "727-240-1935"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "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 20, 2025; 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.