Manatee Gynecology LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

MANATEE GYNECOLOGY LLC

Practice address

2310 60TH Street CT W
Bradenton, FL 34209-6609

Phone

(941) 792-4993

NPI assigned

Nov 21, 2017

Last updated

Dec 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kinnari Desai, MDNPI 1790717304

Title

Owner

Phone

(941) 792-4993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBBCBD

Practitioners 17

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.

• Kinnari P Desai, MD

  • Gynecology Physician
  • Bradenton, FL
  • NPI 1790717304
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Joann Billman

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1174255483
  Medicare reassignment Care Compare group NPD
• Kaleigh Jean Braden, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1740911932
  Medicare reassignment Care Compare group NPD
• Joyce A Kepto, ARNP

  • Advanced Practice Midwife
  • St Petersburg, FL
  • NPI 1073578100
  Medicare reassignment Care Compare group NPD
• Marion M Pandiscio, MD

  • Gynecology Physician
  • Bradenton, FL
  • NPI 1407811029
  Medicare reassignment Care Compare group NPD
• Michaella Phanord, ARNP

  • Family Nurse Practitioner
  • Riverview, FL
  • NPI 1053119024
  Medicare reassignment Care Compare group NPD
• Kylie Ameres, PA-C

  • Physician Assistant
  • Bradenton, FL
  • NPI 1831954536
  Medicare reassignment Care Compare group
• Sarah Sherba

  • Women's Health Nurse Practitioner
  • Bradenton, FL
  • NPI 1114808532
  Medicare reassignment Care Compare group
• Ellen Huenink, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1730637836
  Medicare reassignment NPD
• Kavita D Khanijow, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • New Port Richey, FL
  • NPI 1346534948
  Medicare reassignment NPD
• Karen F Liebert, MD

  • Gynecology Physician
  • Bradenton, FL
  • NPI 1891759619
  Medicare reassignment NPD
• Rebecca Sue Medlin, APRN

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1982007449
  Medicare reassignment NPD

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1578077970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 60TH STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 60TH STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096609",
            "telephone_number": "941-792-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "KINNARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-792-4993",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manatee Ear Center Inc
• Manatee Endocrine & Diabetes Center
• Manatee Family Eyecare, PA
• Manatee Family Pharmacy
• Manatee Glens
• Manatee Gynecology P a (Manatee Gynecology)
• Manatee Hearing & Speech Center Inc
• Manatee Hearing & Speech Center, Inc.
• Manatee Integrated Acupuncture LLC
• Manatee Internal Medicine PA

• Gynecology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.