NPIMap

Organization Active NPI

Sun Coast Hospital Inc

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1467515221
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUN COAST HOSPITAL INC
Practice address
1559 Indian Rocks Rd S
Largo, FL 33770-4542
Phone
(727) 588-0336
NPI assigned
Dec 19, 2006
Organization subpart
Yes
Parent organization
SUN COAST HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Darryl Lentz
Title
Cfo
Phone
(727) 586-7164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1559 Indian Rocks Rd S
Largo, FL 33770-4542

Mailing address

PO Box 409841
Atlanta, GA 30384-9841
Phone (727) 588-0336

Other identifiers 1

IdentifierTypeStateIssuer
77073OtherFLBCBS OF FL GROUP NUMBER

Other names 1

  • Krug Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Richard M Bowman DO5 organizations share this tax ID, including this one
Part of
Richard M Bowman DO

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1467515221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409841",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849841",
            "telephone_number": "727-588-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 INDIAN ROCKS RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704542",
            "telephone_number": "727-588-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN COAST HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN COAST HOSPITAL INC",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-586-7164"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL GROUP NUMBER",
            "identifier": "77073",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krug Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 20, 2007; 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.