St Mary Surgical Inc

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

SA-C # 05-254 Issued in FL

Legal business name

ST MARY SURGICAL INC

Practice address

5343 59TH Circle West
Kenneth City, FL 33709

Phone

(727) 417-2151

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By 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

Amged Gamil Younan

Title

Surgical Assistant Certified Sa-C

Phone

(727) 417-2151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649480146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 14101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337664101",
            "telephone_number": "727-417-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 59TH CIRCLE WEST",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "33709",
            "telephone_number": "727-417-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNAN",
        "authorized_official_first_name": "AMGED",
        "authorized_official_middle_name": "GAMIL",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT CERTIFIED   SA-C",
        "authorized_official_telephone_number": "727-417-2151"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "FL",
            "license": "SA-C     #  05-254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Christopher Saunders, RN
• Tanner Shellenbarger
• Chevonne Jass Singh, APRN
• Clementie Sinigur, PA-C
• Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
• St Petersburg Nursing Home, LLC (Jacaranda Manor)
• St. Petersburg FL Opco LLC
• Starbrina P Sullivan
• Tampa Bay Care Solutions, LLC
• Taterik Properties LLC (Baytree Lakeside)

• Critical Access Hospital in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Critical Access Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.