Bay Pediatric Gastroenterology, Hepatology and Nutrition PL

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

BAY PEDIATRIC GASTROENTEROLOGY, HEPATOLOGY AND NUTRITION PL

Practice address

501 Dr Martin Luther King Jr St S
St Petersburg, FL 33705-1814

Phone

(727) 822-7344

NPI assigned

Jul 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica King

Title

Administrative Assistant

Phone

(727) 767-4755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942235551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DR MARTIN LUTHER KING JR ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051814",
            "telephone_number": "727-822-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DR MARTIN LUTHER KING JR ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051814",
            "telephone_number": "727-822-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PEDIATRIC GASTROENTEROLOGY, HEPATOLOGY AND NUTRITION PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "727-767-4755"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Gastroenterology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Gastroenterology Physician in Florida

• 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.