Organization Active NPI

Excellerated Facilitation Technologies

  • Physician Office Based Coding Specialist
  • St Petersburg, FL
National Provider Identifier
1558080424
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician Office Based Coding SpecialistTaxonomy code 246YC3302X
Legal business name
EXCELLERATED FACILITATION TECHNOLOGIES
Practice address
5175 45TH St N # 4
St Petersburg, FL 33714-2266
Phone
(727) 748-4060
Fax
(727) 748-4060
NPI assigned
Aug 24, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Robert HasbrouckNPI 1245543867
Title
President
Phone
(727) 748-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Office Based Coding SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 246YC3302X Primary

Addresses

Primary practice location

5175 45TH St N # 4
St Petersburg, FL 33714-2266

Mailing address

5175 45TH St N # 4
St Petersburg, FL 33714-2266
Phone (727) 748-4060

National Provider Directory

National Provider Directory

Locations

5175 45th St N
#4
St Petersburg, FL 33714
Phone (727) 748-4060

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": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1558080424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 45TH ST N # 4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142266",
            "telephone_number": "727-748-4060",
            "fax_number": "727-748-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 45TH ST N # 4",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142266",
            "telephone_number": "727-748-4060",
            "fax_number": "727-748-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLERATED FACILITATION TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "HASBROUCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-748-4060"
    },
    "taxonomies": [
        {
            "code": "246YC3302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Health Information, Coding Specialist, Physician Office Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 14, 2022; 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.