Organization Active NPI

Charles F Nardi M D P a

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1710205091
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHARLES F NARDI M D P A
Practice address
6021 NW 1St PL
Gainesville, FL 32607-2025
Phone
(352) 331-6015
Fax
(352) 331-6014
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Charles F Nardi, MD
Title
Owner
Phone
(352) 331-6015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6021 NW 1St PL
Gainesville, FL 32607-2025

Mailing address

6021 NW 1St PL
Gainesville, FL 32607-2025
Phone (352) 331-6015

Other identifiers 2

IdentifierTypeStateIssuer
43373OtherFLBLUE CROSS BLUE SHIELD OF FLORIDA
254622100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1710205091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 NW 1ST PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072025",
            "telephone_number": "352-331-6015",
            "fax_number": "352-331-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 NW 1ST PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072025",
            "telephone_number": "352-331-6015",
            "fax_number": "352-331-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F NARDI M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "NARDI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-331-6015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "43373",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254622100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.