Organization Active NPI

Knizley Endocrine and Diabetic Care, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Gainesville, FL
National Provider Identifier
1982743050
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME13674 Issued in FL
Legal business name
KNIZLEY ENDOCRINE AND DIABETIC CARE, PA
Practice address
6800 NW 9TH Blvd
Suite 2
Gainesville, FL 32605-4231
Phone
(352) 332-7990
Fax
(352) 332-9894
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Homer Knizley Jr., M.D.
Title
President
Phone
(352) 332-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X ME13674 FL Primary

Addresses

Primary practice location

6800 NW 9TH Blvd
Suite 2
Gainesville, FL 32605-4231

Mailing address

6800 NW 9TH Blvd
Suite 2
Gainesville, FL 32605-4231
Phone (352) 332-7990

Other identifiers 1

IdentifierTypeStateIssuer
01801OtherFLBLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1982743050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 NW 9TH BLVD",
            "address_2": "SUITE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054231",
            "telephone_number": "352-332-7990",
            "fax_number": "352-332-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NW 9TH BLVD",
            "address_2": "SUITE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054231",
            "telephone_number": "352-332-7990",
            "fax_number": "352-332-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIZLEY ENDOCRINE AND DIABETIC CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "KNIZLEY",
        "authorized_official_first_name": "HOMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-332-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME13674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.