Organization Active NPI

Vip Surgery Center-St Petersburg LLC

  • Ambulatory Surgical Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1770969198
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VIP SURGERY CENTER-ST PETERSBURG LLC
Practice address
5000 Park St N
Suite 1105
St Petersburg, FL 33709-2221
Phone
(727) 827-2993
NPI assigned
Aug 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Dr. Obinna Nwobi, MD
Title
Owner / Medical Director
Phone
(727) 827-2993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5000 Park St N
Suite 1105
St Petersburg, FL 33709-2221

Mailing address

5000 Park St N
Suite 1105
St Petersburg, FL 33709-2221
Phone (727) 827-2993

National Provider Directory

National Provider Directory

Locations

5000 Park St N
Ste 1105
St Petersburg, FL 33709
Phone (727) 827-2993

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1770969198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N",
            "address_2": "SUITE 1105",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092221",
            "telephone_number": "727-827-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N",
            "address_2": "SUITE 1105",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092221",
            "telephone_number": "727-827-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP SURGERY CENTER-ST PETERSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "NWOBI",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_title_or_position": "OWNER / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-827-2993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Aug 7, 2015; 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.