Bay Area Nephrology, PL

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

OS7262 Issued in FL

Legal business name

BAY AREA NEPHROLOGY, PL

Practice address

1305 S Fort Harrison Ave
Building H
Clearwater, FL 33756-3301

Phone

(727) 441-0104

Fax

(727) 441-8272

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Thomas Needham Jr., D.O.NPI 1962427195

Title

Owner

Phone

(727) 441-0104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Thomas Needham Jr., D.O.

  • Nephrology Physician
  • Clearwater, FL
  • NPI 1962427195
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1710169248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S FORT HARRISON AVE",
            "address_2": "BUILDING H",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563301",
            "telephone_number": "727-441-0104",
            "fax_number": "727-441-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S FORT HARRISON AVE",
            "address_2": "BUILDING H",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563301",
            "telephone_number": "727-441-0104",
            "fax_number": "727-441-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA NEPHROLOGY, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-441-0104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS7262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Endodontics LLP
• Bay Area Endodontics LLP
• Bay Area Gastrointestinal Endoscopy and Liver Specialists LLC
• Bay Area Mental Health Services, P.a.
• Bay Area Metro, LLC
• Bay Area Neuromuscular Therapy LLC
• Bay Area Womens Care
• Bay Pines Vamc
• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc..

• Nephrology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.