Organization Active NPI

Gary Ronay MD PA

  • Urology Physician
  • Brandon, FL
National Provider Identifier
1356665061
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME0046249 Issued in FL
Legal business name
GARY RONAY MD PA
Practice address
503 Eichenfeld Dr
Suite 104
Brandon, FL 33511-5984
Phone
(813) 684-7707
Fax
(813) 653-4584
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Gary Ronay, MD
Title
President
Phone
(813) 684-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME0046249 FL Primary

Addresses

Primary practice location

503 Eichenfeld Dr
Suite 104
Brandon, FL 33511-5984

Mailing address

503 Eichenfeld Dr
Suite 104
Brandon, FL 33511-5984
Phone (813) 684-7707

Other identifiers 2

IdentifierTypeStateIssuer
041826900MedicaidFL
30805OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

503 Eichenfeld Dr
Ste 104
Brandon, FL 33511
Phone (813) 684-7707

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1356665061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 EICHENFELD DR",
            "address_2": "SUITE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115984",
            "telephone_number": "813-684-7707",
            "fax_number": "813-653-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 EICHENFELD DR",
            "address_2": "SUITE 104",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115984",
            "telephone_number": "813-684-7707",
            "fax_number": "813-653-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY RONAY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "RONAY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-684-7707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0046249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041826900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30805",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.