Active NPI
James Raymond Kinney Sr., D.O.
- Family Medicine Physician
- Largo, FL
National Provider Identifier
1417911017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS4164
- Practice address
- 2780 E Bay Dr
Largo, FL 33771-2469 - Phone
- (727) 535-3489
- Fax
- (727) 535-3585
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS4164 | FL | Primary |
Addresses
Primary practice location
2780 E Bay Dr
Largo, FL 33771-2469
Mailing address
10225 Ulmerton Rd
Suite 1B
Largo, FL 33771-3538
Phone (727) 581-4849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82332 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1417911017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10225 ULMERTON RD",
"address_2": "SUITE 1B",
"city": "LARGO",
"state": "FL",
"postal_code": "337713538",
"telephone_number": "727-581-4849",
"fax_number": "727-584-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 E BAY DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337712469",
"telephone_number": "727-535-3489",
"fax_number": "727-535-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "JAMES",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS4164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "82332",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.