Organization Active NPI

Fansler Anterior Spinal Access PL

  • Specialist
  • Largo, FL
National Provider Identifier
1679888093
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME67619 Issued in FL
Legal business name
FANSLER ANTERIOR SPINAL ACCESS PL
Practice address
12955 Seminole Blvd
Largo, FL 33778-2399
Phone
(727) 584-9500
Fax
(727) 584-9502
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Richard F Fansler, M.D.
Title
Sole MBR
Phone
(727) 584-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME67619 FL Primary

Addresses

Primary practice location

12955 Seminole Blvd
Largo, FL 33778-2399

Mailing address

12955 Seminole Blvd
Largo, FL 33778-2399
Phone (727) 584-9500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1679888093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782399",
            "telephone_number": "727-584-9500",
            "fax_number": "727-584-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782399",
            "telephone_number": "727-584-9500",
            "fax_number": "727-584-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANSLER ANTERIOR SPINAL ACCESS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "FANSLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "727-584-9500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME67619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.