| Bayfront Health St. Petersburg Medical Group | |
|
701 6th St S St Petersburg FL 33701-4814 | |
| (727) 823-1234 | |
| Not Available |
| Full Name | Bayfront Health St. Petersburg Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 6th St S, St Petersburg, Florida |
| Authorized Official Name and Position | Michele Napier (VP, REVENUE MANAGEMENT & CRO) |
| Authorized Official Contact | 3218413492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayfront Health St. Petersburg Medical Group 3090 Caruso Ct Ste 50 Orlando FL 32806-8510 Ph: (407) 481-7174 | Bayfront Health St. Petersburg Medical Group 701 6th St S St Petersburg FL 33701-4814 Ph: (727) 823-1234 |
| NPI Number | 1518572551 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 05/19/2023 |
| Medicare PECOS PAC ID | 2668882507 |
|---|---|
| Medicare Enrollment ID | O20201105000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518572551 | NPI | - | NPPES |
| Provider Name | Trina E Espinola |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922024421 PECOS PAC ID: 9436055654 Enrollment ID: I20031210000803 |
| Provider Name | David Mateo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679542039 PECOS PAC ID: 6002806692 Enrollment ID: I20040515000062 |
| 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 | Ligia Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437145661 PECOS PAC ID: 6709836125 Enrollment ID: I20050124000947 |
| 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 | John C Brock |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154327393 PECOS PAC ID: 3678674538 Enrollment ID: I20070721000010 |
| Provider Name | Adriana M Casanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215134846 PECOS PAC ID: 0648364794 Enrollment ID: I20070919000918 |
| 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 | Helen L Techler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326211574 PECOS PAC ID: 5193893576 Enrollment ID: I20081013000325 |
| Provider Name | Angela R Evans-lacert |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508998766 PECOS PAC ID: 5698836195 Enrollment ID: I20081202000710 |
| Provider Name | Nadie C Gressine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265466395 PECOS PAC ID: 0042102527 Enrollment ID: I20090117000042 |
| Provider Name | Tammy R Schlatterer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659512580 PECOS PAC ID: 7012068356 Enrollment ID: I20090629000022 |
| Provider Name | Elvia E Vallejo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215914346 PECOS PAC ID: 0749276905 Enrollment ID: I20090826000669 |
| 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 | Holly B Saunders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437146172 PECOS PAC ID: 5698859411 Enrollment ID: I20100128000602 |
| Provider Name | Harrison J Brownlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477584746 PECOS PAC ID: 4789719113 Enrollment ID: I20100324000144 |
| Provider Name | John P Deveikis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124061775 PECOS PAC ID: 0941109375 Enrollment ID: I20100327000249 |
| 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 | Edwin J Humphrey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295754547 PECOS PAC ID: 4082730007 Enrollment ID: I20100928000700 |
| Provider Name | Andrea A Polley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861508392 PECOS PAC ID: 1254523665 Enrollment ID: I20101004001060 |
| Provider Name | David O Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588627673 PECOS PAC ID: 0648467514 Enrollment ID: I20101206000455 |
| Provider Name | Emanuel L Javate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194819524 PECOS PAC ID: 6002806486 Enrollment ID: I20101206000941 |
| Provider Name | Deepak K Naidu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497707947 PECOS PAC ID: 0143250308 Enrollment ID: I20110301000327 |
| Provider Name | Foster Curtis Bryan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457363103 PECOS PAC ID: 9234273632 Enrollment ID: I20110627000768 |
| Provider Name | Paige Lindberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467640771 PECOS PAC ID: 6002983830 Enrollment ID: I20110701000001 |
| 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 | Israel B Wojnowich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508165390 PECOS PAC ID: 9436323359 Enrollment ID: I20111110000572 |
| 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 | Robert Hawes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295843241 PECOS PAC ID: 6800846502 Enrollment ID: I20120221000506 |
| Provider Name | Irina Scutaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124205596 PECOS PAC ID: 3971641853 Enrollment ID: I20120419000784 |
| Provider Name | Shyam S Varadarajulu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336161686 PECOS PAC ID: 7810151453 Enrollment ID: I20120612000525 |
| Provider Name | Jeremy W Bowers |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548452402 PECOS PAC ID: 6507021110 Enrollment ID: I20120705000487 |
| Provider Name | Rachelle A Schwartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861627085 PECOS PAC ID: 6002952256 Enrollment ID: I20120710000293 |
| Provider Name | Kristin S Sochet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447549365 PECOS PAC ID: 1658529110 Enrollment ID: I20120907000478 |
| Provider Name | Shacara D Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194014621 PECOS PAC ID: 6608018981 Enrollment ID: I20131227000093 |
| Provider Name | Udayakumar Navaneethan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225227507 PECOS PAC ID: 8325280944 Enrollment ID: I20140723000944 |
| Provider Name | Alexander Md Ramirez Valderrama |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710120183 PECOS PAC ID: 7618194564 Enrollment ID: I20140816000166 |
| Provider Name | Altaf G Anga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417198870 PECOS PAC ID: 5890846471 Enrollment ID: I20141009000138 |
| Provider Name | Sotiris C Stamou |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1316078835 PECOS PAC ID: 8527126408 Enrollment ID: I20141125000719 |
| Provider Name | Nicholas A Kotch |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588942650 PECOS PAC ID: 3173845849 Enrollment ID: I20141208001642 |
| 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 | Dianna Yu-ning Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285805010 PECOS PAC ID: 0547576373 Enrollment ID: I20150825003213 |
| 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 J Iliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447617527 PECOS PAC ID: 9830489830 Enrollment ID: I20160603000391 |
| Provider Name | Shari Anthony |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447697099 PECOS PAC ID: 0547556979 Enrollment ID: I20160909002252 |
| Provider Name | Ji Young Bang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912218314 PECOS PAC ID: 2961649645 Enrollment ID: I20160923000843 |
| 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 | Nicole Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164966743 PECOS PAC ID: 1951684281 Enrollment ID: I20170213001179 |
| Provider Name | Camila Avila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063899615 PECOS PAC ID: 4688967698 Enrollment ID: I20170612003019 |
| 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 | Julia Pfaff |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952664609 PECOS PAC ID: 2365727468 Enrollment ID: I20171122000455 |
| Provider Name | Jeffrey M Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225319288 PECOS PAC ID: 4688816390 Enrollment ID: I20180118002068 |
| 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 | Antwan Edward Lacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477059376 PECOS PAC ID: 5294085924 Enrollment ID: I20180830000823 |
| Provider Name | William James Degan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417336884 PECOS PAC ID: 3577878859 Enrollment ID: I20181001002019 |
| Provider Name | Stacy Christine Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083159818 PECOS PAC ID: 3678825494 Enrollment ID: I20181005001517 |
| 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 | Liyu Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982085627 PECOS PAC ID: 5294028692 Enrollment ID: I20181204000733 |
| Provider Name | Yissa Fonticiella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548672678 PECOS PAC ID: 5890089650 Enrollment ID: I20190207001186 |
| Provider Name | Solimar Jimenez Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912331943 PECOS PAC ID: 5991099293 Enrollment ID: I20190319000697 |
| Provider Name | Lowell Dean Dawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033537725 PECOS PAC ID: 9234463654 Enrollment ID: I20190618003692 |
| Provider Name | Patrick Delsanto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275983017 PECOS PAC ID: 5597059873 Enrollment ID: I20190822004247 |
| Provider Name | Gail L Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104059120 PECOS PAC ID: 5294064317 Enrollment ID: I20190913002597 |
| Provider Name | Kristelle M Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902460678 PECOS PAC ID: 7113258633 Enrollment ID: I20191015002588 |
| Provider Name | Katherine Apostolakis-kyrus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528358397 PECOS PAC ID: 1254575020 Enrollment ID: I20191111000642 |
| Provider Name | Tiffany Romelle Tonismae |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245505478 PECOS PAC ID: 8022251818 Enrollment ID: I20191121000881 |
| Provider Name | Sean T Hubbard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598779670 PECOS PAC ID: 0648179127 Enrollment ID: I20191126001080 |
| Provider Name | Martin Castaneda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497135529 PECOS PAC ID: 8729371588 Enrollment ID: I20191202000757 |
| Provider Name | Sarah Shay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770005944 PECOS PAC ID: 4880020999 Enrollment ID: I20200210001471 |
| Provider Name | Jessica A Kennard |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1225477607 PECOS PAC ID: 3870736556 Enrollment ID: I20200428001702 |
| Provider Name | Marc Underhill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619188661 PECOS PAC ID: 8022155464 Enrollment ID: I20200502000230 |
| Provider Name | Andres E Santayana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346775848 PECOS PAC ID: 0446526248 Enrollment ID: I20200512001738 |
| Provider Name | Eric Alexander Addo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992141295 PECOS PAC ID: 4183951700 Enrollment ID: I20200515000552 |
| Provider Name | Monica L Roca |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275949414 PECOS PAC ID: 0042430969 Enrollment ID: I20200805003068 |
| Provider Name | Jose Perez Yordan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497193924 PECOS PAC ID: 4284905407 Enrollment ID: I20200914001304 |
| Provider Name | Janet Fiamingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487014585 PECOS PAC ID: 8527470483 Enrollment ID: I20201217000726 |
| Provider Name | Laurel Elizabeth Dimaggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053718395 PECOS PAC ID: 2961804794 Enrollment ID: I20210715002051 |
| Provider Name | Jacqueline E Ooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164922811 PECOS PAC ID: 1658774237 Enrollment ID: I20210720001337 |
| Provider Name | Dustin R Price |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538573548 PECOS PAC ID: 9638398399 Enrollment ID: I20211019003343 |
| Provider Name | Liviu C Craciun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902022882 PECOS PAC ID: 5496802928 Enrollment ID: I20211103003329 |
| Provider Name | Christopher Bariana |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992092662 PECOS PAC ID: 0042501785 Enrollment ID: I20211213001561 |
| Provider Name | Madalyn J Stills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104386457 PECOS PAC ID: 6103250428 Enrollment ID: I20220115000029 |
| Provider Name | Bradley Sipe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003233578 PECOS PAC ID: 1052619095 Enrollment ID: I20220214000591 |
| Provider Name | Rima Jasinskiene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275010373 PECOS PAC ID: 6204162738 Enrollment ID: I20220325000597 |
| Provider Name | Randhir Jesudoss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033418843 PECOS PAC ID: 6709020928 Enrollment ID: I20220412000142 |
| Provider Name | Kelsie Lee Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538816749 PECOS PAC ID: 7719374750 Enrollment ID: I20220421002617 |
| Provider Name | Benjamin Tharian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932599164 PECOS PAC ID: 5890009195 Enrollment ID: I20220506000969 |
| Provider Name | Nayana E George |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467804179 PECOS PAC ID: 4284011362 Enrollment ID: I20220510002875 |
| Provider Name | Lindsay Gates |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285952085 PECOS PAC ID: 7416259510 Enrollment ID: I20220606001598 |
| Provider Name | Brian James Martens |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144683467 PECOS PAC ID: 2365825338 Enrollment ID: I20220824001748 |
| Provider Name | Doris Natalia Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518691708 PECOS PAC ID: 7214312826 Enrollment ID: I20220919001213 |
| Provider Name | Jennifer Ayscue |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1265411227 PECOS PAC ID: 6901817493 Enrollment ID: I20221020000802 |
| Provider Name | Jonathan Clovis Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841909223 PECOS PAC ID: 9436529948 Enrollment ID: I20221227002245 |
| Provider Name | Timothy C Marsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982223913 PECOS PAC ID: 5496179053 Enrollment ID: I20221229001217 |
| Provider Name | Samantha Lindsay O'neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457061582 PECOS PAC ID: 4981075801 Enrollment ID: I20230131002900 |
| Provider Name | Kimberly Ann Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639779051 PECOS PAC ID: 1456723030 Enrollment ID: I20230207003645 |
| Provider Name | Maydel Grinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497466999 PECOS PAC ID: 6608240429 Enrollment ID: I20230317002458 |
| Provider Name | Samuel Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104810605 PECOS PAC ID: 1456329911 Enrollment ID: I20230524003872 |
| Provider Name | Christa Finer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346879939 PECOS PAC ID: 6608290226 Enrollment ID: I20230606001440 |
| Provider Name | Sara A Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730836669 PECOS PAC ID: 2264890920 Enrollment ID: I20230628001187 |
| Provider Name | Justin Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437631330 PECOS PAC ID: 7517326853 Enrollment ID: I20230705003290 |
| Provider Name | Yessenia Marquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740784966 PECOS PAC ID: 1850640657 Enrollment ID: I20230725004178 |
| Provider Name | Brittany Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417637539 PECOS PAC ID: 2567826035 Enrollment ID: I20230918000029 |
| Provider Name | Urenna J Acholonu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669730941 PECOS PAC ID: 4587927918 Enrollment ID: I20240610003910 |
John E Kern Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5838 9th Ave N, St Petersburg, FL 33710 Phone: 727-347-8132 Fax: 727-347-3560 | |
My Kit Free Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6707 38th Ave N, St Petersburg, FL 33710 Phone: 727-800-9958 Fax: 855-552-3776 | |
Pedro J Morales Md & Tim P Carlson Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2191 9th Ave No, Suite 220, St Petersburg, FL 33713 Phone: 727-327-9667 Fax: 727-321-1655 | |
Bay Area Endoscopy Center Limited Partnership Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5771 49th St N, St Petersburg, FL 33709 Phone: 727-528-2261 Fax: 727-526-7071 | |
American Family & Geriatric Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5880 49th St N, Suite 101 N, St Petersburg, FL 33709 Phone: 727-527-8788 Fax: 727-527-8828 | |
Remmel Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6416 9th St N, St Petersburg, FL 33702 Phone: 727-525-1141 Fax: 727-525-1195 | |
Women's Health Care St. Pete Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6450 38th Ave N, Suite 320, St Petersburg, FL 33710 Phone: 727-344-1234 |