Active NPI
St. Anthonys Hospital, Inc.
- Family Medicine Physician
- St Petersburg, FL
National Provider Identifier
1790660322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ST. ANTHONYS HOSPITAL, INC.
- Practice address
- 1200 7TH Ave N
St Petersburg, FL 33705-1300 - Phone
- (727) 825-1100
- NPI assigned
- Aug 11, 2025
- Last updated
- Aug 11, 2025
- 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
- Lynda Gorken
- Title
- Vice President
- Phone
- (727) 281-9202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1200 7TH Ave N
St Petersburg, FL 33705-1300
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-6974
Other names 1
- PROFESSIONAL BILLING SAH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260507000339 | FL | Part B Supplier - Clinic/Group Practice | 8123037520 | Practice locations: St Petersburg, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba St. Anthonys Hospital
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
8123037520
National Provider Directory
National Provider Directory- Tax ID family
- Sanderlin Community Cli
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1194075358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1790660322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST FL 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-315-6974",
"fax_number": "813-635-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 7TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051300",
"telephone_number": "727-825-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. ANTHONYS HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "GORKEN",
"authorized_official_first_name": "LYNDA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "727-281-9202"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PROFESSIONAL BILLING SAH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St Petersburg, FL
- St. Anthony's Professional Buildings & Services, Inc (BayCare Outpatient Imaging)
- St. Anthony's Professional Buildings & Services, Inc (St Anthonys Pet/CT Center)
- St. Anthonys Hospital, Inc. (St Anthonys Hospital)
- St. Anthonys Hospital, Inc. (St. Anthonys Hospital Skilled Nursing Unit)
- St. Anthonys Hospital, Inc. (St. Anthonys Hospital)
- St. Joseph's Hospital, Inc.
- St. Pete Chiropractic and Injury Center LLC
- St. Pete Health Associates (B'Wel Chiropractic & Health Associates, Inc.)
- St. Pete Injury Centers, LLC
- St. Pete Physical Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.