NPIMap

Organization Active NPI

First Knight Medical Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Plant City, FL
National Provider Identifier
1780655647
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME0068819 Issued in FL
Legal business name
FIRST KNIGHT MEDICAL INC
Practice address
8508 Alafia Hills Dr
Plant City, FL 33567-3408
Phone
(813) 650-8600
Fax
(813) 650-8664
NPI assigned
Jan 30, 2006
Last updated
May 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Dr. Laurence Milton Petty, M.D.NPI 1265655757
Title
President/Physician
Phone
(813) 650-8600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X ME0068819 FL Primary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X ME0068819 FL

Addresses

Primary practice location

8508 Alafia Hills Dr
Plant City, FL 33567-3408

Mailing address

8508 Alafia Hills Dr
Plant City, FL 33567-3408
Phone (813) 650-8600

Other identifiers 1

IdentifierTypeStateIssuer
255973100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525001742 FL Part B Supplier - Clinic/Group Practice 0143201269 Receives reassigned benefits from 7 practitioners
Practice locations: Plant City, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1780655647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8508 ALAFIA HILLS DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335673408",
            "telephone_number": "813-650-8600",
            "fax_number": "813-650-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8508 ALAFIA HILLS DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335673408",
            "telephone_number": "813-650-8600",
            "fax_number": "813-650-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST KNIGHT MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "813-650-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0068819",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME0068819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255973100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.