V P Jeyabarath MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

V P JEYABARATH MD PA

Practice address

17222 Hospital Blvd
Ste 116
Brooksville, FL 34601-8925

Phone

(352) 754-0500

Fax

(352) 754-0515

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Vinaitheertha P Jeyabarath, MD

Title

Owner - Provider

Phone

(352) 754-0500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1861660029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12399",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346032399",
            "telephone_number": "352-754-0500",
            "fax_number": "352-754-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD",
            "address_2": "STE 116",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-754-0500",
            "fax_number": "352-754-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V P JEYABARATH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "JEYABARATH",
        "authorized_official_first_name": "VINAITHEERTHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER - PROVIDER",
        "authorized_official_telephone_number": "352-754-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "DO2252",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267210300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.