Organization Active NPI

McCall'S Orthotic and Prosthetic

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1952304669
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
POR168 Issued in FL
Legal business name
MCCALL'S ORTHOTIC AND PROSTHETIC
Practice address
5639 49TH St N
St Petersburg, FL 33709-2105
Phone
(727) 327-5000
Fax
(727) 527-6661
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Mr. James Martin Sixsmith II, LPO
Title
President/Practioner
Phone
(727) 327-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X POR168 FL Primary

Addresses

Primary practice location

5639 49TH St N
St Petersburg, FL 33709-2105

Mailing address

5639 49TH St N
St Petersburg, FL 33709-2105
Phone (727) 327-5000

Other identifiers 1

IdentifierTypeStateIssuer
028335500MedicaidFL

National Provider Directory

National Provider Directory

Locations

5639 49th St N
St Petersburg, FL 33709
Phone (727) 327-5000

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1952304669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092105",
            "telephone_number": "727-327-5000",
            "fax_number": "727-527-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5639 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092105",
            "telephone_number": "727-327-5000",
            "fax_number": "727-527-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALL'S ORTHOTIC AND PROSTHETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "SIXSMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT/PRACTIONER",
        "authorized_official_telephone_number": "727-327-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "POR168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028335500",
            "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 Dec 21, 2007; 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.