Southern Pinellas Surgical PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHERN PINELLAS SURGICAL PA

Practice address

12955 Seminole Blvd
Largo, FL 33778-2399

Phone

(727) 584-9500

Fax

(727) 584-9502

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard F Fansler, MD

Title

President

Phone

(727) 584-9500

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.

• Ashley A. Kelsey, PA

  • Surgical Physician Assistant
  • Tampa, FL
  • NPI 1144337056
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1811001233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782399",
            "telephone_number": "727-584-9500",
            "fax_number": "727-584-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782399",
            "telephone_number": "727-584-9500",
            "fax_number": "727-584-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PINELLAS SURGICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "FANSLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-584-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Largo, FL
• Providers in Largo, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.