Active NPI
Gladden Emergency Physicians
- Emergency Medicine Physician
- St Petersburg, FL
National Provider Identifier
1619926425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- GLADDEN EMERGENCY PHYSICIANS
- Practice address
- 6000 49TH St N
St Petersburg, FL 33709-2114 - Phone
- (727) 521-5510
- Fax
- (727) 521-5116
- NPI assigned
- May 9, 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
- Terry Meadows
- Title
- Vice President
- Phone
- (800) 507-8874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
6000 49TH St N
St Petersburg, FL 33709-2114
Mailing address
PO Box 41429
Philadelphia, PA 19101-1429
Phone (800) 507-8874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34407 | Other | FL | BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1619926425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41429",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191011429",
"telephone_number": "800-507-8874",
"fax_number": "727-507-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 49TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092114",
"telephone_number": "727-521-5510",
"fax_number": "727-521-5116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLADDEN EMERGENCY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MEADOWS",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "800-507-8874"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "34407",
"state": "FL"
}
],
"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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.