Individual provider Active NPI

Amy J Gabriel, MD

  • Obstetrics & Gynecology Physician
  • Clearwater, FL
National Provider Identifier
1902980717
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME114380 Issued in FL
Practice address
707 Druid Rd E
Clearwater, FL 33756-3951
Phone
(727) 461-1439
Fax
(727) 443-7230
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME114380 FL Primary

Addresses

Primary practice location

707 Druid Rd E
Clearwater, FL 33756-3951

Mailing address

PO Box 10549
St Petersburg, FL 33733-0549
Phone (727) 461-1439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000239 FL Practitioner - Obstetrics/Gynecology 2961471875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Iowa, RJ & L Carver College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Pinellas IncGroup PAC ID 8527961028, 65 clinicians

Practice addresses (Care Compare)

1260 S Martin Luther King Jr Ave
Clearwater, FL 33756-4172
Phone (727) 824-8181

1344 22ND St S
St Petersburg, FL 33712-2744
Phone (727) 824-8181

707 Druid Rd E
Clearwater, FL 33756-3913
Phone (727) 824-8181

7550 43Rd St N
Pinellas Park, FL 33781-3601
Phone (727) 824-8181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114380FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Pinellas Inc Current Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Dec 5, 2012 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Community Health Centers of Pinellas Inc. CurrentSince Dec 5, 2012 Accepting new patients
Piedmont Providers LLC Past Accepting new patients
My OBGYN PC Past Accepting new patients

Locations

707 Druid Rd E
Clearwater, FL 33756
Phone (727) 441-8963

26286 US Highway 19 N
Ste B
Clearwater, FL 33761
Phone (727) 824-8100

14106 58th St N
Clearwater, FL 33760
Phone (727) 824-8100

14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224

7550 43rd St N
Pinellas Park, FL 33781
Phone (727) 290-4222

4950 34th St N
St Petersburg, FL 33714

1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

Interoperability endpoints

  • Direct secure messaging: agabriel189252@orlandohealth.medalliesdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1902980717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10549",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337330549",
            "telephone_number": "727-461-1439",
            "fax_number": "727-443-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563951",
            "telephone_number": "727-461-1439",
            "fax_number": "727-443-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME114380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.