Florida Digestive Specialist, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FLORIDA DIGESTIVE SPECIALIST, LLC

Practice address

5767 49TH St N
St Petersburg, FL 33709-2107

Phone

(727) 522-0558

Fax

(727) 521-3605

NPI assigned

Apr 12, 2013

Organization subpart

No

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

Authorized official

Name

Jayaprakash K Kamath, M.D.

Title

President

Phone

(727) 522-0558

Specialties & licenses 1

Addresses

Other names 1

• Bay Area Digestive Health Specialist, LLC Former legal business name

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1801239496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092107",
            "telephone_number": "727-522-0558",
            "fax_number": "727-521-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5767 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092107",
            "telephone_number": "727-522-0558",
            "fax_number": "727-521-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DIGESTIVE SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "KAMATH",
        "authorized_official_first_name": "JAYAPRAKASH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-522-0558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Digestive Health Specialist, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.