NPIMap

Organization Active NPI

Park Street Women's Center, P.a.

  • Medical Specialty Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1437391513
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME0069863 Issued in FL
Legal business name
PARK STREET WOMEN'S CENTER, P.A.
Practice address
3801 Park St N
Suite 4
St Petersburg, FL 33709-4078
Phone
(727) 347-2489
Fax
(727) 343-7815
NPI assigned
Apr 3, 2009
Last updated
Apr 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Dr. Maria M Gregory, M. D.NPI 1992767610
Title
President
Phone
(727) 347-2489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME0069863 FL Primary

Addresses

Primary practice location

3801 Park St N
Suite 4
St Petersburg, FL 33709-4078

Mailing address

3801 Park St N
Suite 4
St Petersburg, FL 33709-4078
Phone (727) 347-2489

National Provider Directory

National Provider Directory

Locations

3801 Park St N
Ste 4
St Petersburg, FL 33709
Phone (727) 347-2489

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1437391513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 PARK ST N",
            "address_2": "SUITE 4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094078",
            "telephone_number": "727-347-2489",
            "fax_number": "727-343-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 PARK ST N",
            "address_2": "SUITE 4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094078",
            "telephone_number": "727-347-2489",
            "fax_number": "727-343-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK STREET WOMEN'S CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-347-2489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0069863",
            "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 Apr 3, 2009; 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.