Organization Active NPI

Casey N Gaines MD PA

  • Neurological Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1487627873
Registry record updated Aug 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME42122 Issued in FL
Legal business name
CASEY N GAINES MD PA
Practice address
1761 Oceanview Dr
St Petersburg, FL 33715-2509
Phone
(727) 867-2373
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2011

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

Authorized official

Name
Dr. Casey Gaines, MDNPI 1134958796
Title
President
Phone
(727) 867-2373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X ME42122 FL Primary

Addresses

Primary practice location

1761 Oceanview Dr
St Petersburg, FL 33715-2509

Mailing address

1761 Oceanview Dr
St Petersburg, FL 33715-2509
Phone (727) 867-2373

Other identifiers 2

IdentifierTypeStateIssuer
067463000MedicaidFL
62423OtherBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314403200000",
    "number": "1487627873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 OCEANVIEW DR",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337152509",
            "telephone_number": "727-867-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 OCEANVIEW DR",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337152509",
            "telephone_number": "727-867-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY N GAINES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-08-27",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-867-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME42122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067463000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62423",
            "state": null
        }
    ],
    "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 Aug 27, 2011; 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.