Active NPI
Per Gustaf Astrand, M.D.
- Hospitalist Physician
- Tallahassee, FL
National Provider Identifier
1609824630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME81561
- Practice address
- 1300 Miccosukee Rd
Hospitalist Group
Tallahassee, FL 32308-5054 - Phone
- (850) 431-4996
- Fax
- (850) 431-6315
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME81561 | FL | Primary |
Addresses
Primary practice location
1300 Miccosukee Rd
Hospitalist Group
Tallahassee, FL 32308-5054
Mailing address
1300 Miccosukee Rd
Hospitalist Group
Tallahassee, FL 32308-5054
Phone (850) 431-4996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262899600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1609824630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD",
"address_2": "HOSPITALIST GROUP",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-4996",
"fax_number": "850-431-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD",
"address_2": "HOSPITALIST GROUP",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-4996",
"fax_number": "850-431-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTRAND",
"first_name": "PER",
"middle_name": "GUSTAF",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME81561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262899600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.