Active NPI
Gordon J. Gilbert, M.D., P.a.
- Medical Specialty Clinic/Center
- St Petersburg, FL
National Provider Identifier
1942523550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 8363
- Legal business name
- GORDON J. GILBERT, M.D., P.A.
- Practice address
- 500 Pasadena Ave S
St Petersburg, FL 33707-2126 - Phone
- (727) 345-7500
- Fax
- (727) 347-4454
- NPI assigned
- Mar 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gordon J. Gilbert, M.D.
- Title
- President
- Phone
- (727) 345-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 8363 | FL | Primary |
Addresses
Primary practice location
500 Pasadena Ave S
St Petersburg, FL 33707-2126
Mailing address
500 Pasadena Ave S
St Petersburg, FL 33707-2126
Phone (727) 345-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044967900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
500 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-7500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268179200000",
"number": "1942523550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PASADENA AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337072126",
"telephone_number": "727-345-7500",
"fax_number": "727-347-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PASADENA AVE S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337072126",
"telephone_number": "727-345-7500",
"fax_number": "727-347-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDON J. GILBERT, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A",
"authorized_official_last_name": "GILBERT",
"authorized_official_first_name": "GORDON",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-345-7500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "FL",
"license": "8363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044967900",
"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 Mar 10, 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.