Organization Active NPI

Frank I Mendelblatt MD PA

  • Ophthalmology Physician
  • St Petersburg, FL
National Provider Identifier
1467652388
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FRANK I MENDELBLATT MD PA
Practice address
600 6TH St S
St Petersburg, FL 33701-4813
Phone
(727) 822-6763
Fax
(727) 821-0649
NPI assigned
Jul 19, 2007
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Frank I Mendelblatt, M.D.
Title
President
Phone
(727) 822-6763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

600 6TH St S
St Petersburg, FL 33701-4813

Mailing address

600 6TH St S
St Petersburg, FL 33701-4813
Phone (727) 822-6763

Other identifiers 1

IdentifierTypeStateIssuer
267555200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000358 FL Part B Supplier - Clinic/Group Practice 2668435371 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

534 6th Ave S
St Petersburg, FL 33701
Phone (727) 822-6763

600 6th St S
St Petersburg, FL 33701
Phone (727) 822-6763

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1467652388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014813",
            "telephone_number": "727-822-6763",
            "fax_number": "727-821-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014813",
            "telephone_number": "727-822-6763",
            "fax_number": "727-821-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK I MENDELBLATT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "MENDELBLATT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-822-6763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267555200",
            "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 Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.