Active NPI
Samuel Gubernick DO PA
- Allergy & Immunology Physician
- Largo, FL
National Provider Identifier
1780877829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- OS5550
- Legal business name
- SAMUEL GUBERNICK DO PA
- Practice address
- 13145 66TH St
Largo, FL 33773-1812 - Phone
- (727) 530-0700
- Fax
- (727) 530-0777
- NPI assigned
- Aug 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel Gubernick, D.O.
- Title
- President
- Phone
- (727) 530-0700
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | OS5550 | FL | Primary |
Addresses
Primary practice location
13145 66TH St
Largo, FL 33773-1812
Mailing address
13145 66TH St
Largo, FL 33773-1812
Phone (727) 530-0700
Other names 1
- GUBERNICK ALLERGY ASTHMA AND IMMUNOLOGY ASSOCIATES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13145 66th St
Largo, FL 33773
Phone (727) 530-0700
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Largo, FL
- NPI 1518916972
-
- Allergy & Immunology Physician
- Largo, FL
- NPI 1770801953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1780877829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13145 66TH ST",
"city": "LARGO",
"state": "FL",
"postal_code": "337731812",
"telephone_number": "727-530-0700",
"fax_number": "727-530-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13145 66TH ST",
"city": "LARGO",
"state": "FL",
"postal_code": "337731812",
"telephone_number": "727-530-0700",
"fax_number": "727-530-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL GUBERNICK DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-22",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "GUBERNICK",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-530-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "OS5550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GUBERNICK ALLERGY ASTHMA AND IMMUNOLOGY ASSOCIATES",
"code": "5",
"type": "Other Name"
}
]
}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 Nov 13, 2007; 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.