| Professional Health Care Of Pinellas Llc | |
|
1839 Central Ave St Petersburg FL 33713-8900 | |
| (727) 322-1054 | |
| (727) 822-8081 |
| Full Name | Professional Health Care Of Pinellas Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1839 Central Ave, St Petersburg, Florida |
| Authorized Official Name and Position | Claudia J Poulin (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7278201040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Health Care Of Pinellas Llc 1839 Central Ave St Petersburg FL 33713-8900 Ph: (727) 322-1054 | Professional Health Care Of Pinellas Llc 1839 Central Ave St Petersburg FL 33713-8900 Ph: (727) 322-1054 |
| NPI Number | 1881647253 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 1658274675 |
|---|---|
| Medicare Enrollment ID | O20040128000732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881647253 | NPI | - | NPPES |
| 260904500 | Medicaid | FL | |
| CI3254 | Other | FL | RAILROAD MEDICARE PROV ID |
| 21639 | Other | FL | BC FL PROV ID |
| Provider Name | Damon J Stafford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770650574 PECOS PAC ID: 3678468592 Enrollment ID: I20040219000339 |
| Provider Name | William F Mcgrogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093820334 PECOS PAC ID: 0244218188 Enrollment ID: I20040708000808 |
| Provider Name | Lelila Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174572648 PECOS PAC ID: 3375591100 Enrollment ID: I20050110000015 |
| Provider Name | Gerardo L Garcia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568424539 PECOS PAC ID: 8123076601 Enrollment ID: I20050111000834 |
| Provider Name | Pedro J Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023128865 PECOS PAC ID: 6103889969 Enrollment ID: I20050201000332 |
| Provider Name | Frank Salvatore Amato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417940347 PECOS PAC ID: 4688615339 Enrollment ID: I20050512000821 |
| Provider Name | Hisham M Hanai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801851332 PECOS PAC ID: 4981644648 Enrollment ID: I20050513000117 |
| Provider Name | Jae Y Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619064326 PECOS PAC ID: 7810968450 Enrollment ID: I20050920001062 |
| Provider Name | Mircea George Cristescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992758700 PECOS PAC ID: 8527085422 Enrollment ID: I20051031000352 |
| Provider Name | Gail E Quail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992751713 PECOS PAC ID: 6901825405 Enrollment ID: I20051114001056 |
| Provider Name | Masharia Ann Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235185042 PECOS PAC ID: 1153344544 Enrollment ID: I20060111001209 |
| Provider Name | Sayyed T Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295798759 PECOS PAC ID: 8628162146 Enrollment ID: I20070914000278 |
| Provider Name | Ralph A Dematteis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346219698 PECOS PAC ID: 8325134992 Enrollment ID: I20071011000533 |
| Provider Name | Karen L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417090523 PECOS PAC ID: 7416045117 Enrollment ID: I20071114000018 |
| Provider Name | Rabee Korbaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932392073 PECOS PAC ID: 8527156272 Enrollment ID: I20071114000348 |
| Provider Name | Michael Coleman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164590428 PECOS PAC ID: 2567546419 Enrollment ID: I20080301000018 |
| Provider Name | Wendy Kehl-pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790965242 PECOS PAC ID: 3375629793 Enrollment ID: I20080326000425 |
| Provider Name | Ajoy Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528267457 PECOS PAC ID: 3577639038 Enrollment ID: I20080906000106 |
| Provider Name | Daria Dzembo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407871312 PECOS PAC ID: 3476629700 Enrollment ID: I20080910000152 |
| Provider Name | Jacqueline M Saeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619903275 PECOS PAC ID: 5193885093 Enrollment ID: I20081121000717 |
| Provider Name | Mihee Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427191576 PECOS PAC ID: 2567532906 Enrollment ID: I20081203000223 |
| Provider Name | Nino Kurtsikidze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376516724 PECOS PAC ID: 9436227287 Enrollment ID: I20081212000358 |
| Provider Name | Amy K Bumgarner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952512048 PECOS PAC ID: 2163588682 Enrollment ID: I20090309000493 |
| Provider Name | Kimberly K Vander Heuvel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780607309 PECOS PAC ID: 6406994318 Enrollment ID: I20091113000403 |
| Provider Name | Georgette Bouwhuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700112786 PECOS PAC ID: 8729121165 Enrollment ID: I20100206000131 |
| Provider Name | Harish J Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093818460 PECOS PAC ID: 2365577715 Enrollment ID: I20100324000317 |
| Provider Name | Luis Ricardo Aponte |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1437230505 PECOS PAC ID: 2264569417 Enrollment ID: I20100421000157 |
| Provider Name | Fadi E Saba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588658348 PECOS PAC ID: 1153224175 Enrollment ID: I20100910001037 |
| Provider Name | Hazem F Al Andary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275847071 PECOS PAC ID: 6103729132 Enrollment ID: I20100921000859 |
| Provider Name | Lee David Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982779856 PECOS PAC ID: 0547453367 Enrollment ID: I20101025000461 |
| Provider Name | Leigh A Tesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356645972 PECOS PAC ID: 3870773138 Enrollment ID: I20110203001089 |
| Provider Name | Scott M Rolston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407159536 PECOS PAC ID: 2163606963 Enrollment ID: I20110401000471 |
| Provider Name | Tatiana V Arkhipenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881978708 PECOS PAC ID: 7911171590 Enrollment ID: I20111116000443 |
| Provider Name | John Shover |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518948017 PECOS PAC ID: 1658545926 Enrollment ID: I20111122000898 |
| Provider Name | Teresa A Zipeto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366727570 PECOS PAC ID: 0648446179 Enrollment ID: I20120104000318 |
| Provider Name | Stephen P Thomason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255325833 PECOS PAC ID: 2668649351 Enrollment ID: I20120120000374 |
| Provider Name | Kozhimala T John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891890638 PECOS PAC ID: 5698804466 Enrollment ID: I20120124000882 |
| Provider Name | Katherine Chiu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518040575 PECOS PAC ID: 9335244532 Enrollment ID: I20120808000239 |
| Provider Name | Arnaldo B Buckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700195732 PECOS PAC ID: 4789833252 Enrollment ID: I20120927000696 |
| Provider Name | Lydia T Van |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326277369 PECOS PAC ID: 5991954224 Enrollment ID: I20121002000596 |
| Provider Name | Luis F Ycaza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366480311 PECOS PAC ID: 2466601398 Enrollment ID: I20121009000365 |
| Provider Name | Belinda L Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134450620 PECOS PAC ID: 0042460867 Enrollment ID: I20121101000039 |
| Provider Name | Fred Lee Leslie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245466325 PECOS PAC ID: 2567613136 Enrollment ID: I20121107000339 |
| Provider Name | Erika R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497093165 PECOS PAC ID: 9436394558 Enrollment ID: I20130320000577 |
| Provider Name | Lauren M Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972843035 PECOS PAC ID: 7113162256 Enrollment ID: I20130320000741 |
| Provider Name | Leonard Confident |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275733024 PECOS PAC ID: 3173762358 Enrollment ID: I20130619000315 |
| Provider Name | Ahsan Afzal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316263692 PECOS PAC ID: 1052553914 Enrollment ID: I20130806000701 |
| Provider Name | Michael Edward Wald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467429837 PECOS PAC ID: 0648170928 Enrollment ID: I20130919000024 |
| Provider Name | Percy H Lo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518954288 PECOS PAC ID: 9234141037 Enrollment ID: I20140210001502 |
| Provider Name | Suzanna L Vanacore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982023917 PECOS PAC ID: 7416170469 Enrollment ID: I20140521000718 |
| Provider Name | Kristine Marie Sferra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558790949 PECOS PAC ID: 5092938795 Enrollment ID: I20140528000514 |
| Provider Name | Diane B Riggleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336565753 PECOS PAC ID: 2961625454 Enrollment ID: I20140602002072 |
| Provider Name | Nicole M Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134530041 PECOS PAC ID: 2567689185 Enrollment ID: I20140805002341 |
| Provider Name | Andrew D Weitzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104139237 PECOS PAC ID: 8729205992 Enrollment ID: I20140812000769 |
| Provider Name | Casey Herschell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932517034 PECOS PAC ID: 7315165578 Enrollment ID: I20140829000987 |
| Provider Name | Kerry A Cadogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265743058 PECOS PAC ID: 9436378007 Enrollment ID: I20140912000964 |
| Provider Name | Anthony Roosevelt Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093002768 PECOS PAC ID: 7517186695 Enrollment ID: I20140923000998 |
| Provider Name | Sharon Adele Treusdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184020943 PECOS PAC ID: 0345562047 Enrollment ID: I20141209000522 |
| Provider Name | Patrick Mella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982915781 PECOS PAC ID: 7113240045 Enrollment ID: I20141230001547 |
| Provider Name | Jeffrey A Gelber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407857089 PECOS PAC ID: 8224058771 Enrollment ID: I20150219000881 |
| Provider Name | Karen Sinni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386032282 PECOS PAC ID: 8022336429 Enrollment ID: I20150415001226 |
| Provider Name | Shelley Denise Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134509748 PECOS PAC ID: 1153636105 Enrollment ID: I20150819008821 |
| Provider Name | Charlotte C Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700260999 PECOS PAC ID: 6406164243 Enrollment ID: I20150929000796 |
| Provider Name | Cameron C Esmkhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396922415 PECOS PAC ID: 1052629813 Enrollment ID: I20150929001505 |
| Provider Name | Katina R Averette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902278153 PECOS PAC ID: 0840591319 Enrollment ID: I20151229001489 |
| Provider Name | Nora Siegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114328069 PECOS PAC ID: 6901108547 Enrollment ID: I20160113001855 |
| Provider Name | April N Kimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831554906 PECOS PAC ID: 4789988742 Enrollment ID: I20160211001417 |
| Provider Name | Bernard Philippe |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548648561 PECOS PAC ID: 9537477914 Enrollment ID: I20160215001565 |
| Provider Name | Jasmina Katinic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811362650 PECOS PAC ID: 5991000507 Enrollment ID: I20160219000203 |
| Provider Name | Joseph B. Paruolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639461742 PECOS PAC ID: 1254639933 Enrollment ID: I20160413000692 |
| Provider Name | Svetlana V Kovtunova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033226899 PECOS PAC ID: 9931201191 Enrollment ID: I20160520000757 |
| Provider Name | Nadine Azzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891925301 PECOS PAC ID: 3971730532 Enrollment ID: I20160613001212 |
| Provider Name | Natalie Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588019913 PECOS PAC ID: 8022309509 Enrollment ID: I20160614002277 |
| Provider Name | De An Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568825099 PECOS PAC ID: 5597056671 Enrollment ID: I20160621000627 |
| Provider Name | Virginia P Basnight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093169849 PECOS PAC ID: 1355632027 Enrollment ID: I20160628000984 |
| Provider Name | Danita Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083078208 PECOS PAC ID: 2567753593 Enrollment ID: I20160808000646 |
| Provider Name | Ann L Threatte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174952469 PECOS PAC ID: 4082908348 Enrollment ID: I20160809001576 |
| Provider Name | Brandon Myles Steinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902247596 PECOS PAC ID: 0547496457 Enrollment ID: I20160809002448 |
| Provider Name | Raviinder Singh Parmar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881983500 PECOS PAC ID: 0345528667 Enrollment ID: I20161020001446 |
| Provider Name | Gregory L Dungan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144671710 PECOS PAC ID: 3173802386 Enrollment ID: I20161110002005 |
| Provider Name | Fitzwilliam Esele Musoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003360058 PECOS PAC ID: 5092002022 Enrollment ID: I20161112000314 |
| Provider Name | Alfredo Davila-rivera |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477713303 PECOS PAC ID: 8022160340 Enrollment ID: I20161229000690 |
| Provider Name | Kory M Turnow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205372844 PECOS PAC ID: 5092098483 Enrollment ID: I20170209000209 |
| Provider Name | Tolulope Aderonke Oduyejo-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720524531 PECOS PAC ID: 2264716919 Enrollment ID: I20170225000045 |
| Provider Name | Safiya A Arthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962747659 PECOS PAC ID: 1951546621 Enrollment ID: I20170428002094 |
| Provider Name | Cirly Aleyas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649707951 PECOS PAC ID: 5890062319 Enrollment ID: I20170603000050 |
| Provider Name | Charles E Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215478649 PECOS PAC ID: 8224305743 Enrollment ID: I20170603000179 |
| Provider Name | Cori E Brodsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265973820 PECOS PAC ID: 4981972239 Enrollment ID: I20170610000046 |
| Provider Name | Alexander Julius Schreil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295152486 PECOS PAC ID: 8123329653 Enrollment ID: I20170620003413 |
| Provider Name | Camille M Alfonso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912312794 PECOS PAC ID: 0345460754 Enrollment ID: I20170621002973 |
| Provider Name | Gregory Wilkerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699171538 PECOS PAC ID: 9638448053 Enrollment ID: I20170628001584 |
| Provider Name | Tiffany L James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093245185 PECOS PAC ID: 2860762945 Enrollment ID: I20170721002978 |
| Provider Name | Jesse W Ping |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609286079 PECOS PAC ID: 6002031275 Enrollment ID: I20170908000703 |
| Provider Name | Heather H Germann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841288925 PECOS PAC ID: 5698744209 Enrollment ID: I20170918003487 |
| Provider Name | Stephen D Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902850001 PECOS PAC ID: 4082527247 Enrollment ID: I20170918003576 |
| Provider Name | Ethan Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265951891 PECOS PAC ID: 1153697842 Enrollment ID: I20171025000423 |
| Provider Name | Olivia F Pop |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700013034 PECOS PAC ID: 6406077684 Enrollment ID: I20171103000951 |
| Provider Name | Urvi A Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568974046 PECOS PAC ID: 2567729510 Enrollment ID: I20171129000505 |
| Provider Name | Mary P Bourbeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255672796 PECOS PAC ID: 5395044754 Enrollment ID: I20171208002391 |
| Provider Name | Diana M Tiwari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538674700 PECOS PAC ID: 4183983406 Enrollment ID: I20180112001400 |
| Provider Name | Eric D Scheck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215467642 PECOS PAC ID: 5597024604 Enrollment ID: I20180118001068 |
| Provider Name | Regina Y Shears-mccloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700322781 PECOS PAC ID: 3173883766 Enrollment ID: I20180130000692 |
| Provider Name | Mary C Kawalya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497256861 PECOS PAC ID: 6002177094 Enrollment ID: I20180308001674 |
| Provider Name | James S Andjelic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861871717 PECOS PAC ID: 7517279490 Enrollment ID: I20180327000847 |
| Provider Name | Beverly H Ciampa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780189654 PECOS PAC ID: 0345503579 Enrollment ID: I20180420001326 |
| Provider Name | Nickole A Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215432224 PECOS PAC ID: 5092079533 Enrollment ID: I20180508002407 |
| Provider Name | Jacqueline Harang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831690650 PECOS PAC ID: 8527322064 Enrollment ID: I20180508002477 |
| Provider Name | Ann Bernadette Keneipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821006081 PECOS PAC ID: 3274589056 Enrollment ID: I20180510001957 |
| Provider Name | Jose N Peralta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215462007 PECOS PAC ID: 0941556229 Enrollment ID: I20180628000942 |
| Provider Name | Ted I Ellquist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770516734 PECOS PAC ID: 8921014762 Enrollment ID: I20180720000989 |
| Provider Name | Muhammad Salmanullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952312381 PECOS PAC ID: 1052311842 Enrollment ID: I20180803001397 |
| Provider Name | Winay M Virkud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356761472 PECOS PAC ID: 3971851775 Enrollment ID: I20180810001599 |
| Provider Name | Crystal M Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053323584 PECOS PAC ID: 8426056730 Enrollment ID: I20181101002097 |
| Provider Name | Kaveh Ghaedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235576224 PECOS PAC ID: 5395768584 Enrollment ID: I20181109001037 |
| Provider Name | Marcella A Caro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124529094 PECOS PAC ID: 2961747514 Enrollment ID: I20181231000523 |
| Provider Name | Elizabeth A Kurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114401007 PECOS PAC ID: 9234477720 Enrollment ID: I20190207001588 |
| Provider Name | Noushin Yazdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215318936 PECOS PAC ID: 1052659877 Enrollment ID: I20190220001698 |
| Provider Name | John Evens Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508388307 PECOS PAC ID: 3274874813 Enrollment ID: I20190409002884 |
| Provider Name | Katelyn Sloan Peworchik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912489519 PECOS PAC ID: 2860726056 Enrollment ID: I20190621000713 |
| Provider Name | Alisha L Grimmage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679137863 PECOS PAC ID: 0648504530 Enrollment ID: I20190626002932 |
| Provider Name | Kristen J Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508226283 PECOS PAC ID: 3577869106 Enrollment ID: I20190702001242 |
| Provider Name | Vicki D Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346895000 PECOS PAC ID: 8123357886 Enrollment ID: I20190906000418 |
| Provider Name | Krystle L Jaynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881258713 PECOS PAC ID: 7012246333 Enrollment ID: I20190912000848 |
| Provider Name | Lisa S Spiegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750696563 PECOS PAC ID: 4486846466 Enrollment ID: I20191104000556 |
| Provider Name | Angela Theresa C Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134774045 PECOS PAC ID: 3577995844 Enrollment ID: I20191107002679 |
| Provider Name | Keith Edward Romanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619411881 PECOS PAC ID: 8921431065 Enrollment ID: I20191204001467 |
| Provider Name | Kathleen R Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780219998 PECOS PAC ID: 3678901071 Enrollment ID: I20200319000045 |
| Provider Name | Brittany L Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063945830 PECOS PAC ID: 0446681043 Enrollment ID: I20200515000175 |
| Provider Name | David S Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700319662 PECOS PAC ID: 8921429325 Enrollment ID: I20200610000860 |
| Provider Name | Sagarika Sinha Sabbagh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205177698 PECOS PAC ID: 2264723402 Enrollment ID: I20200611003103 |
| Provider Name | Kaela J Harron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720511587 PECOS PAC ID: 6406278878 Enrollment ID: I20200612002079 |
| Provider Name | Joshua N Rosenwasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730614868 PECOS PAC ID: 4082037213 Enrollment ID: I20200707002339 |
| Provider Name | Cory Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144868753 PECOS PAC ID: 3375967607 Enrollment ID: I20200721000388 |
| Provider Name | Mobola T Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295940138 PECOS PAC ID: 4082702907 Enrollment ID: I20200729003239 |
| Provider Name | Wayne D Sherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609135110 PECOS PAC ID: 8022238500 Enrollment ID: I20200828000821 |
| Provider Name | Ericka N Hering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447878129 PECOS PAC ID: 6305264854 Enrollment ID: I20200915001928 |
| Provider Name | Olta Plunkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629695002 PECOS PAC ID: 0749510030 Enrollment ID: I20200918000863 |
| Provider Name | Hilesca T Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376158246 PECOS PAC ID: 1355761164 Enrollment ID: I20201016001228 |
| Provider Name | Ellena Lois Boddie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689673790 PECOS PAC ID: 0840399515 Enrollment ID: I20201105001302 |
| Provider Name | Melissa A Poley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871195362 PECOS PAC ID: 8628480704 Enrollment ID: I20201214002512 |
| Provider Name | Amir A Al-dabagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609293901 PECOS PAC ID: 9234452194 Enrollment ID: I20210304000540 |
| Provider Name | Patrick M Bengston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770177446 PECOS PAC ID: 9931515285 Enrollment ID: I20210310002809 |
| Provider Name | Jennifer Y Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366948861 PECOS PAC ID: 1759780299 Enrollment ID: I20210603000453 |
| Provider Name | Sarah Christine Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275147696 PECOS PAC ID: 4789084062 Enrollment ID: I20210608000937 |
| Provider Name | Joseph M Ciszewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366937856 PECOS PAC ID: 4981956893 Enrollment ID: I20210611000037 |
| Provider Name | Christopher E Cooke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205323797 PECOS PAC ID: 1759781636 Enrollment ID: I20210615000443 |
| Provider Name | Adam J Salomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063909422 PECOS PAC ID: 1153725718 Enrollment ID: I20210804003448 |
| Provider Name | Brittnai N Boldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881262376 PECOS PAC ID: 2567867963 Enrollment ID: I20210824000610 |
| Provider Name | Sam A Samarrai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972000461 PECOS PAC ID: 2264837517 Enrollment ID: I20210824003148 |
| Provider Name | Maria L Catalano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073186193 PECOS PAC ID: 9931506235 Enrollment ID: I20210929003197 |
| Provider Name | Heather M Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609448539 PECOS PAC ID: 0648669572 Enrollment ID: I20211116001097 |
| Provider Name | Donald Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124454079 PECOS PAC ID: 5597156356 Enrollment ID: I20220105001522 |
| Provider Name | Arianne M Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245822378 PECOS PAC ID: 9739571241 Enrollment ID: I20220113000184 |
| Provider Name | Melissa Anne Stanilka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003409608 PECOS PAC ID: 0941692339 Enrollment ID: I20220114001445 |
| Provider Name | Ruben R Raya Campos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285976027 PECOS PAC ID: 1052682705 Enrollment ID: I20220119000991 |
| Provider Name | Bonita J Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639686363 PECOS PAC ID: 1153708151 Enrollment ID: I20220512001980 |
| Provider Name | Ricardo A Pineda Gayoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437619566 PECOS PAC ID: 7012395668 Enrollment ID: I20220609002231 |
| Provider Name | Alauddin El-hag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144884040 PECOS PAC ID: 8022497494 Enrollment ID: I20220615003177 |
| Provider Name | Janelle A Alfano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548856974 PECOS PAC ID: 7416336672 Enrollment ID: I20220617000516 |
| Provider Name | Tariq Z Kutob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497844120 PECOS PAC ID: 7810061785 Enrollment ID: I20220801002039 |
| Provider Name | Lauren C Kitenplon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205562121 PECOS PAC ID: 8628450905 Enrollment ID: I20220803000908 |
| Provider Name | Nivine B Grannis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831825744 PECOS PAC ID: 3971985276 Enrollment ID: I20220803001996 |
| Provider Name | Ysulin Parrado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356078125 PECOS PAC ID: 3072996974 Enrollment ID: I20220810000224 |
| Provider Name | Betzy Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811644735 PECOS PAC ID: 4789069238 Enrollment ID: I20220923001608 |
| Provider Name | Jodi Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952023202 PECOS PAC ID: 3870969611 Enrollment ID: I20221019000181 |
| Provider Name | John Christopher Doehring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306223698 PECOS PAC ID: 4486905148 Enrollment ID: I20221121002722 |
| Provider Name | Adrianna Leszczynska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194452318 PECOS PAC ID: 9931577608 Enrollment ID: I20221130002274 |
| Provider Name | Marieta Fryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235849258 PECOS PAC ID: 2163892290 Enrollment ID: I20230105001027 |
| Provider Name | Carline J Pajotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508570276 PECOS PAC ID: 3375914237 Enrollment ID: I20230201000799 |
| Provider Name | Mohammad Abdullah Dwary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366195240 PECOS PAC ID: 0446643837 Enrollment ID: I20230217000901 |
| Provider Name | Susan Kiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083159446 PECOS PAC ID: 8325411879 Enrollment ID: I20230302002031 |
| Provider Name | Christine J Cobb-osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154071363 PECOS PAC ID: 4981069556 Enrollment ID: I20230503003630 |
| Provider Name | Rogelio F Del Valle Valladares |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497486484 PECOS PAC ID: 8426414582 Enrollment ID: I20230515002440 |
| Provider Name | Briana N Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467147389 PECOS PAC ID: 9133586399 Enrollment ID: I20230601002801 |
| Provider Name | Timothy Koo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033796511 PECOS PAC ID: 2567840671 Enrollment ID: I20230612001363 |
| Provider Name | Sabrina R Urs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295362648 PECOS PAC ID: 3476910746 Enrollment ID: I20230613003391 |
| Provider Name | Barbara Simeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013491711 PECOS PAC ID: 7618335407 Enrollment ID: I20230627001744 |
| Provider Name | Jonesia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255022703 PECOS PAC ID: 1254790801 Enrollment ID: I20230629003800 |
| Provider Name | Shawntae N Munn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275171860 PECOS PAC ID: 1759740053 Enrollment ID: I20230705001757 |
| Provider Name | Ashley Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588360440 PECOS PAC ID: 7416319694 Enrollment ID: I20230821001183 |
| Provider Name | Swati Vanaparthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598393365 PECOS PAC ID: 2668836560 Enrollment ID: I20230911003638 |
| Provider Name | Thomas C Mcdannel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932985801 PECOS PAC ID: 5496100927 Enrollment ID: I20231018001762 |
| Provider Name | Jamie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104557206 PECOS PAC ID: 0648626333 Enrollment ID: I20231101002185 |
| Provider Name | Gail S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053374009 PECOS PAC ID: 2264499169 Enrollment ID: I20240226002235 |
| Provider Name | Caridad V Martinez Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710744529 PECOS PAC ID: 9234578535 Enrollment ID: I20240419000738 |
| Provider Name | Deja D Mandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538926993 PECOS PAC ID: 1153760475 Enrollment ID: I20240419001365 |
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 |