Active NPI
The Ehs Medical Practice PA
- Specialist
- Gainesville, FL
National Provider Identifier
1487769576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 161274
- Legal business name
- THE EHS MEDICAL PRACTICE PA
- Practice address
- 529 NE 60TH St
Gainesville, FL 32607-2008 - Phone
- (352) 331-5100
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Donna J Hover, LPN
- Title
- Nurse
- Phone
- (352) 331-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME 161274 | FL | Primary |
Addresses
Primary practice location
529 NE 60TH St
Gainesville, FL 32607-2008
Mailing address
529 NE 60TH St
Gainesville, FL 32607-2008
Phone (352) 331-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34968 | Other | FL | BLUE CROSS / BLUE SHIELD |
Other names 1
- Sarkis Family Psychiatry
National Provider Directory
National Provider DirectoryPractitioners & 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": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239840000000",
"number": "1487769576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 NE 60TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072008",
"telephone_number": "352-331-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 NE 60TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072008",
"telephone_number": "352-331-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EHS MEDICAL PRACTICE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2009-04-16",
"status": "A",
"authorized_official_last_name": "HOVER",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "NURSE",
"authorized_official_telephone_number": "352-331-5100",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME 161274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "34968",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sarkis Family Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.