Organization Active NPI

Physician Sleep Services

  • Sleep Disorder Diagnostic Clinic/Center
  • Tampa, FL
National Provider Identifier
1801121090
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PHYSICIAN SLEEP SERVICES
Practice address
12027 Whitmarsh LN
Tampa, FL 33626-1737
Phone
(877) 333-2575
Fax
(813) 902-6509
NPI assigned
Oct 6, 2009
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Paul Gremillion
Title
Ceo
Phone
(985) 773-2851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X FL Primary

Addresses

Primary practice location

12027 Whitmarsh LN
Tampa, FL 33626-1737

Mailing address

2895 Highway 190
Suite 223
Mandeville, LA 70471-3414
Phone (985) 727-0780

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1801121090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 HIGHWAY 190",
            "address_2": "SUITE 223",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713414",
            "telephone_number": "985-727-0780",
            "fax_number": "985-727-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12027 WHITMARSH LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261737",
            "telephone_number": "877-333-2575",
            "fax_number": "813-902-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SLEEP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "GREMILLION",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-773-2851"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.