Organization Active NPI

Carol L Pappas MD PHD PA

  • Neurology Physician
  • St Petersburg, FL
National Provider Identifier
1679761118
Registry record updated Oct 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A40376 Issued in FL
Legal business name
CAROL L PAPPAS MD PHD PA
Practice address
2191 9TH Ave N
#230
St Petersburg, FL 33713-7146
Phone
(727) 321-5212
Fax
(727) 321-0266
NPI assigned
Oct 10, 2007
Last updated
Oct 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2007

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

Authorized official

Name
Dr. Carol L Pappas, MD PHDNPI 1659442101
Title
President
Phone
(727) 321-5212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A40376 FL Primary

Addresses

Primary practice location

2191 9TH Ave N
#230
St Petersburg, FL 33713-7146

Mailing address

2191 9TH Ave N
#230
St Petersburg, FL 33713-7146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110411000159 FL Part B Supplier - Clinic/Group Practice 7618151051 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

2191 9th Ave N
Ste 230
St Petersburg, FL 33713
Phone (727) 321-5212

Practitioners & affiliated clinicians

Practitioners 3

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": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192838400000",
    "number": "1679761118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N",
            "address_2": "#230",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137146",
            "fax_number": "727-321-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N",
            "address_2": "#230",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137146",
            "telephone_number": "727-321-5212",
            "fax_number": "727-321-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL L PAPPAS MD PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-20",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-321-5212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "A40376",
            "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 Oct 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.