Organization Active NPI

G Stephen Igel MD PA

  • Obstetrics & Gynecology Physician
  • Clearwater, FL
National Provider Identifier
1366401895
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0038869 Issued in FL
Legal business name
G STEPHEN IGEL MD PA
Practice address
600 Lakeview Rd
Suite 2D
Clearwater, FL 33756-3355
Phone
(727) 461-7611
Fax
(727) 461-2860
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Gustave Stephen Igel, M.D.
Title
President
Phone
(727) 461-7611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME0038869 FL Primary

Addresses

Primary practice location

600 Lakeview Rd
Suite 2D
Clearwater, FL 33756-3355

Mailing address

600 Lakeview Rd
Suite 2D
Clearwater, FL 33756-3355
Phone (727) 461-7611

Other identifiers 1

IdentifierTypeStateIssuer
065777800MedicaidFL

National Provider Directory

National Provider Directory

Locations

600 Lakeview Rd
Ste 2D
Clearwater, FL 33756
Phone (727) 461-7611

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1366401895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LAKEVIEW RD",
            "address_2": "SUITE 2D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563355",
            "telephone_number": "727-461-7611",
            "fax_number": "727-461-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LAKEVIEW RD",
            "address_2": "SUITE 2D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563355",
            "telephone_number": "727-461-7611",
            "fax_number": "727-461-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G STEPHEN IGEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "IGEL",
        "authorized_official_first_name": "GUSTAVE",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-461-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0038869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065777800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.