Individual provider Active NPI

Gary Richard Youmans, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • St Petersburg, FL
National Provider Identifier
1851322119
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME64488 Issued in FL
Practice address
6006 49TH St N
330
St Petersburg, FL 33709-2148
Phone
(727) 528-5859
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME64488 FL Primary

Addresses

Primary practice location

6006 49TH St N
330
St Petersburg, FL 33709-2148

Mailing address

6006 49TH St N Ste 330
Irl Pathology Services Group West Florida
St Petersburg, FL 33709-2149
Phone (727) 528-5859

Other identifiers 1

IdentifierTypeStateIssuer
23455ZOtherFLMEDICARE ID (UNSPECIFIED)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1851322119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 49TH ST N STE 330",
            "address_2": "IRL PATHOLOGY SERVICES GROUP WEST FLORIDA",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092149",
            "telephone_number": "727-528-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 49TH ST N",
            "address_2": "330",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092148",
            "telephone_number": "727-528-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUMANS",
        "first_name": "GARY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME64488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID (UNSPECIFIED)",
            "identifier": "23455Z",
            "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 Aug 11, 2016; 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.