Organization Active NPI

Triple Gem Healthcare, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • St Petersburg, FL
National Provider Identifier
1356997662
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
TRIPLE GEM HEALTHCARE, INC.
Practice address
2650 1St Ave S
St Petersburg, FL 33712-1108
Phone
(833) 724-6688
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Dr. Robert Stall, MD
Title
Ceo / Physician
Phone
(833) 724-6688

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

2650 1St Ave S
St Petersburg, FL 33712-1108

Mailing address

4222 22ND Ave S # 531631
Saint Petersburg, FL 33711-9998
Phone (833) 724-6688

Other names 1

  • Robert Stall, MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1356997662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 22ND AVE S # 531631",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337119998",
            "telephone_number": "833-724-6688",
            "fax_number": "833-724-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337121108",
            "telephone_number": "833-724-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE GEM HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "STALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO / PHYSICIAN",
        "authorized_official_telephone_number": "833-724-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Stall, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 2019; 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.