Organization Active NPI

Kim B. Powers, D.O., P.a.

  • Adult Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1780955997
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OS6697 Issued in FL
Legal business name
KIM B. POWERS, D.O., P.A.
Practice address
7800 66TH St N Ste 206
Pinellas Park, FL 33781-2101
Phone
(727) 541-0323
Fax
(727) 541-0336
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Kim Bartholomew Powers, D.O.
Title
Owner
Phone
(727) 541-0323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X OS6697 FL Primary

Addresses

Primary practice location

7800 66TH St N Ste 206
Pinellas Park, FL 33781-2101

Mailing address

7800 66TH St N Ste 206
Pinellas Park, FL 33781-2101
Phone (727) 541-0323

National Provider Directory

National Provider Directory

Locations

7800 66th St N
Ste 105
Pinellas Park, FL 33781
Phone (727) 490-9115

7800 66th St N
Ste 206
Pinellas Park, FL 33781
Phone (727) 541-0323

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": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1780955997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 66TH ST N STE 206",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812101",
            "telephone_number": "727-541-0323",
            "fax_number": "727-541-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 66TH ST N STE 206",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812101",
            "telephone_number": "727-541-0323",
            "fax_number": "727-541-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM B. POWERS, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "BARTHOLOMEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-541-0323",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS6697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.