Active NPI
Jonathan Nutter, MD
- Obstetrics & Gynecology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME122802
- Practice address
- 1344 22ND St S
St Petersburg, FL 33712-2744 - Phone
- (727) 824-8181
- Fax
- (727) 824-8137
- NPI assigned
- Jul 29, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | ME122802 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME122802 | FL | Primary |
Addresses
Primary practice location
1344 22ND St S
St Petersburg, FL 33712-2744
Mailing address
PO Box 10549
St Petersburg, FL 33733-0549
Phone (727) 824-8181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015214000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Mercer University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
706 W Platt St
Tampa, FL 33606-2250
Phone 81325120003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME122802 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Omni Medical Center for Women PLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
706 W Platt St
Tampa, FL 33606
Phone (813) 251-2000
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Interoperability endpoints
- jnutter176630@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Tampa, FL
- NPI 1629256474
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1437437019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10549",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337330549",
"telephone_number": "727-824-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 22ND ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337122744",
"telephone_number": "727-824-8181",
"fax_number": "727-824-8137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUTTER",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-29",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "FL",
"license": "ME122802",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME122802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015214000",
"state": "FL"
}
],
"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 Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.