| Bayfront Hma Physician Management Llc | |
|
603 7th St S Ste 400 Saint Petersburg FL 33701-4734 | |
| (727) 553-7420 | |
| Not Available |
| Full Name | Bayfront Hma Physician Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 603 7th St S Ste 400, Saint Petersburg, Florida |
| Authorized Official Name and Position | James Patrick Wright (VP PHYSICIAN BUSINESS SERVICES) |
| Authorized Official Contact | 6157781502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayfront Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: () - | Bayfront Hma Physician Management Llc 603 7th St S Ste 400 Saint Petersburg FL 33701-4734 Ph: (727) 553-7420 |
| NPI Number | 1588904056 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 10/16/2019 |
| Medicare PECOS PAC ID | 2163668302 |
|---|---|
| Medicare Enrollment ID | O20130415000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588904056 | NPI | - | NPPES |
| 008265100 | Medicaid | FL | |
| 100545700 | Medicaid | FL |
| Provider Name | Marilyn W Fudge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306822887 PECOS PAC ID: 9830171776 Enrollment ID: I20040603001026 |
| Provider Name | David D Desper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003866260 PECOS PAC ID: 5991788044 Enrollment ID: I20040609001377 |
| Provider Name | James P La Polla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467509505 PECOS PAC ID: 7719947555 Enrollment ID: I20041015000130 |
| Provider Name | Andrew D Rosenthal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336101211 PECOS PAC ID: 4981661634 Enrollment ID: I20041214000614 |
| Provider Name | Gregg T Schuyler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164484051 PECOS PAC ID: 2769449420 Enrollment ID: I20041214000671 |
| Provider Name | Laura L Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972565638 PECOS PAC ID: 1254389729 Enrollment ID: I20050111000808 |
| Provider Name | Michael A Malone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659384576 PECOS PAC ID: 2264482280 Enrollment ID: I20050127000639 |
| Provider Name | Alexander R Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568424406 PECOS PAC ID: 7911927025 Enrollment ID: I20051205000597 |
| Provider Name | Jaida Taylor Herring |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750360715 PECOS PAC ID: 4183634009 Enrollment ID: I20060421000309 |
| Provider Name | Nicholas Wayne Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285639898 PECOS PAC ID: 5395758247 Enrollment ID: I20060720000050 |
| Provider Name | Megan Indermaur |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1780697870 PECOS PAC ID: 0749289478 Enrollment ID: I20061207000054 |
| Provider Name | Frank B Marsalisi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548291727 PECOS PAC ID: 8224122080 Enrollment ID: I20070924000709 |
| Provider Name | Lorna B Fountain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942322847 PECOS PAC ID: 9739274176 Enrollment ID: I20071001000552 |
| Provider Name | George E Blanco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821203167 PECOS PAC ID: 6002902004 Enrollment ID: I20071023000168 |
| Provider Name | Dennis M Cassidy |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1649272006 PECOS PAC ID: 5799864104 Enrollment ID: I20080509000096 |
| Provider Name | Amy J Koler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588688733 PECOS PAC ID: 7911993084 Enrollment ID: I20091112000588 |
| Provider Name | Jeffery Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144252727 PECOS PAC ID: 1355326612 Enrollment ID: I20091116000433 |
| Provider Name | George E Hutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326098963 PECOS PAC ID: 4789726472 Enrollment ID: I20100119000196 |
| Provider Name | Bryan Alexander Hennes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861654758 PECOS PAC ID: 4082749288 Enrollment ID: I20100312000696 |
| Provider Name | Harrison J Brownlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477584746 PECOS PAC ID: 4789719113 Enrollment ID: I20100324000144 |
| Provider Name | Holly L Baab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962511295 PECOS PAC ID: 2163550773 Enrollment ID: I20100430000760 |
| Provider Name | Lisa M Mazzaferro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174846380 PECOS PAC ID: 0648300236 Enrollment ID: I20100608000505 |
| Provider Name | Steven J Seltzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780612218 PECOS PAC ID: 4183754526 Enrollment ID: I20100611000476 |
| Provider Name | Cheryl L Quigley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881622058 PECOS PAC ID: 5698806511 Enrollment ID: I20100621000862 |
| Provider Name | David O Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588627673 PECOS PAC ID: 0648467514 Enrollment ID: I20101206000455 |
| Provider Name | Elizabeth Katherine Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548289887 PECOS PAC ID: 6901093707 Enrollment ID: I20101206000897 |
| Provider Name | Emanuel L Javate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194819524 PECOS PAC ID: 6002806486 Enrollment ID: I20101206000941 |
| Provider Name | Raphael S Guichard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720384571 PECOS PAC ID: 6608054135 Enrollment ID: I20110701000133 |
| Provider Name | Angela M. Turner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922293190 PECOS PAC ID: 9436327194 Enrollment ID: I20110722000698 |
| Provider Name | Ravikiran Korabathina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184858003 PECOS PAC ID: 2769651298 Enrollment ID: I20110817000771 |
| Provider Name | Jose A Prieto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376573782 PECOS PAC ID: 2062686041 Enrollment ID: I20111201000423 |
| Provider Name | Karen A Raimer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851320543 PECOS PAC ID: 1153596465 Enrollment ID: I20111215000460 |
| Provider Name | Mark Sanchez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851377642 PECOS PAC ID: 5698933992 Enrollment ID: I20120215000822 |
| Provider Name | Irina Scutaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124205596 PECOS PAC ID: 3971641853 Enrollment ID: I20120419000784 |
| Provider Name | Rachelle A Schwartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861627085 PECOS PAC ID: 6002952256 Enrollment ID: I20120710000293 |
| Provider Name | Shacara D Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194014621 PECOS PAC ID: 6608018981 Enrollment ID: I20131227000093 |
| Provider Name | Altaf G Anga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417198870 PECOS PAC ID: 5890846471 Enrollment ID: I20141009000138 |
| Provider Name | Anthony I Nunez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093745028 PECOS PAC ID: 2567441645 Enrollment ID: I20141022002045 |
| Provider Name | Sotiris C Stamou |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316078835 PECOS PAC ID: 8527126408 Enrollment ID: I20141125000719 |
| Provider Name | Steven Curiale |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649290834 PECOS PAC ID: 2062419708 Enrollment ID: I20150219000786 |
| Provider Name | Jenny E Michael |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508155904 PECOS PAC ID: 1951621861 Enrollment ID: I20150516000102 |
| Provider Name | Craig S Levoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801232400 PECOS PAC ID: 1052624442 Enrollment ID: I20150714001426 |
| Provider Name | Daniel A Eckstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366704843 PECOS PAC ID: 1355656851 Enrollment ID: I20150812008571 |
| Provider Name | Karen C Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295098358 PECOS PAC ID: 9739494709 Enrollment ID: I20150819009348 |
| Provider Name | Katherine F Wojnowich |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003103060 PECOS PAC ID: 5799092995 Enrollment ID: I20150921002699 |
| Provider Name | James Ryan Williams |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205015427 PECOS PAC ID: 4587883236 Enrollment ID: I20151020000001 |
| Provider Name | Michael Mishkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386872893 PECOS PAC ID: 1052611456 Enrollment ID: I20151207001764 |
| Provider Name | Shari Anthony |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447697099 PECOS PAC ID: 0547556979 Enrollment ID: I20160909002252 |
| Provider Name | Christina Carlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740639160 PECOS PAC ID: 1456649490 Enrollment ID: I20161007000291 |
| Provider Name | Carley Befeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336465665 PECOS PAC ID: 0446498430 Enrollment ID: I20161010002196 |
| Provider Name | Stephanie Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417219098 PECOS PAC ID: 8729366174 Enrollment ID: I20161105000220 |
| Provider Name | Khaled F Basiouny |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467657890 PECOS PAC ID: 0941495543 Enrollment ID: I20161111000645 |
| Provider Name | Victor M Feldbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497931166 PECOS PAC ID: 7810011244 Enrollment ID: I20170130003024 |
| Provider Name | Camila Avila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063899615 PECOS PAC ID: 4688967698 Enrollment ID: I20170612003019 |
| Provider Name | Ajul Shah |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1598085961 PECOS PAC ID: 9234458639 Enrollment ID: I20170803001546 |
| Provider Name | Daniel Masvidal |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760610752 PECOS PAC ID: 8527283845 Enrollment ID: I20170829001827 |
| Provider Name | Laura Julan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962630509 PECOS PAC ID: 9032483896 Enrollment ID: I20170919000454 |
| Provider Name | Nazrah Franco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427469147 PECOS PAC ID: 7911291935 Enrollment ID: I20171028000187 |
| Provider Name | Jennifer M Huttie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255848024 PECOS PAC ID: 9830459635 Enrollment ID: I20180215000878 |
| Provider Name | Justin Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700264249 PECOS PAC ID: 3678867090 Enrollment ID: I20180803001860 |
| Provider Name | William James Degan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417336884 PECOS PAC ID: 3577878859 Enrollment ID: I20181001002019 |
| Provider Name | Mayra A Cruz Ithier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619263027 PECOS PAC ID: 2466719430 Enrollment ID: I20181109000433 |
| Provider Name | Sergey Kozyr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174937130 PECOS PAC ID: 8820332414 Enrollment ID: I20190717003432 |
| Provider Name | Zachary Allen Hothem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912260258 PECOS PAC ID: 6103058045 Enrollment ID: I20190801001787 |
| Provider Name | Patrick Delsanto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275983017 PECOS PAC ID: 5597059873 Enrollment ID: I20190822004247 |
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