Samuel a Pettina D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAMUEL A PETTINA D.O.

Practice address

13425 Belcher Rd S
Largo, FL 33771-4009

Phone

(727) 536-5575

Fax

(727) 536-4129

NPI assigned

Feb 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Samuel A Pettina, D.ONPI 1699785840

Title

Owner

Phone

(727) 536-5575

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Samuel Anthony Pettina, D.O.

  • Family Medicine Physician
  • New Port Richey, FL
  • NPI 1699785840
  NPD (past) Authorized official

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1780981613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714009",
            "telephone_number": "727-536-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714009",
            "telephone_number": "727-536-5575",
            "fax_number": "727-536-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL A PETTINA D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "PETTINA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-536-5575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saltzman, Tanis, Pittel, Levin and Jacobson
• Salute- Health Solutions Inc
• Michael Anthony Samarkos, PHARMD
• Erin Michelle Sammons, M.S., CCC-SLP
• Deborah Samson, PT
• Samuel Gubernick DO PA
• San Michael Cosmetics, LLC
• Chelsea Sanburg, LMHC
• Sandra Hall, LMHC, Cap, CRC, PA
• Sandy Shores Medical, Inc.

• Family Medicine Physician in Largo, FL
• Providers in Largo, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.