Active NPI
James N Endicott MD PA
- Specialist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME13593
- Legal business name
- JAMES N ENDICOTT MD PA
- Practice address
- 555 4TH Ave S
Saint Petersburg, FL 33701-4428 - Phone
- (727) 551-0800
- Fax
- (727) 551-0801
- NPI assigned
- Nov 14, 2011
- Last updated
- Nov 14, 2011
- 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
- Dr. James N Endicott, MD
- Title
- Ceo
- Phone
- (727) 551-0800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME13593 | FL | Primary |
Addresses
Primary practice location
555 4TH Ave S
Saint Petersburg, FL 33701-4428
Mailing address
555 4TH Ave S
Saint Petersburg, FL 33701-4428
Phone (727) 551-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0394645 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
555 4th Ave S
St Petersburg, FL 33701
Phone (727) 551-0800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- St Petersburg, FL
- NPI 1295775526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321228800000",
"number": "1811274210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 4TH AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014428",
"telephone_number": "727-551-0800",
"fax_number": "727-551-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 4TH AVE S",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337014428",
"telephone_number": "727-551-0800",
"fax_number": "727-551-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES N ENDICOTT MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A",
"authorized_official_last_name": "ENDICOTT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-551-0800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME13593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0394645",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.