Organization Active NPI

Laserscopic Medical Center

  • Orthopaedic Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1871593657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
684 Issued in FL
Legal business name
LASERSCOPIC MEDICAL CENTER
Practice address
5000 Park St N
St Petersburg, FL 33709-2254
Phone
(727) 546-6566
Fax
(727) 546-6560
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joe Samuel Bailey
Title
Ceo
Phone
(727) 546-6566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 684 FL Primary

Addresses

Primary practice location

5000 Park St N
St Petersburg, FL 33709-2254

Mailing address

5000 Park St N
St Petersburg, FL 33709-2254
Phone (727) 546-6566

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871593657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092254",
            "telephone_number": "727-546-6566",
            "fax_number": "727-546-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092254",
            "telephone_number": "727-546-6566",
            "fax_number": "727-546-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASERSCOPIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-546-6566"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; 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.