DR. PETER MICHAEL PARDOLL (NPI# 1013288604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013288604 |
| Entity Type | Individual |
| Full Name | DR. PETER MICHAEL PARDOLL |
| Credential | M.D. |
| Practice Address |
34 Paradise Ln Treasure Island FL 33706-1129 |
| Mailing Address |
34 Paradise Lane Treasure Island FL 33706 |
| Practice Telephone | 7274225464 |
| Practice Fax Number | 7273605352 |
| Mailing Telephone | 7274225464 |
| Mailing Fax Number | 7273605352 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME24487 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
34 PARADISE LN |
| City | TREASURE ISLAND |
| State | FL |
| Zip Code | 33706-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669901278 | Daphne Priya Lazarus | Licensed Practical Nurse | 519 Plaza Seville Court, #37, Treasure Island, FL 33706 | 2017-06-07 |
| 1619304771 | Amanda Gibson | Case Manager/Care Coordinator | 11605 3rd Street E, Treasure Island, FL 33706 | 2013-10-03 |
| 1235571043 | Carl William Winans | General Practice | 106-15th Ave, St. Pete Beach, FL 33706 | 2013-07-22 |
| 1568625234 | Bay Area Taxi Service Inc | Taxi | 5201 Gulf Boulevard, St Pete Beach, FL 33706 | 2008-07-03 |
| 1760652804 | Asta Elena Grinis | Dentist | 8351 Blind Pass Rd, St Pete Beach, FL 33706 | 2008-03-05 |
| 1841419900 | Vanessa Kathleen Shields | Chiropractor | 127 86th Avenue, Treasure Island, FL 33706 | 2007-04-25 |
| 1275759656 | Gulf Coast Recovery Inc | Clinic/Center | 145 108th Avenue, Treasure Island, FL 33706 | 2007-04-17 |
| 1639290877 | Herbert Gersh | Physical Medicine & Rehabilitation | 12336 Sun Vista Ct, Treasure Island, FL 33706 | 2007-04-03 |
| 1548385347 | Tania Ann Culverhouse | Speech-Language Pathologist | 11420 4th Street East, Treasure Island, FL 33706 | 2007-03-20 |
| 1104801018 | Keith Roberts Runyan | Internal Medicine | 3305 W Maritana Dr, St Pete Beach, FL 33706 | 2005-12-13 |
| Find all providers in zip 33706 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321382 | Charlotte Harbor Gastroenterology LLC | Internal Medicine | 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 | 2020-09-22 |
| 1750907614 | Michael G. Valladares D.o. P.a. | Internal Medicine | 10302 Sw 116th St, Miami, FL 33176-4049 | 2020-06-17 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1750922399 | Gastroenterology Care Specialists, LLC | Internal Medicine | 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 | 2019-10-04 |
| 1194375378 | Digestive and Liver Disease Institute of Florida, LLC | Internal Medicine | 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 | 2019-09-18 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1912474156 | Eileen E Kim | Internal Medicine | 5117 Fiorella Ln, Sanford, FL 32771-5449 | 2018-10-25 |
| 1790251197 | Gabriel Benitez | Internal Medicine | 2330 Wilton Dr, Wilton Manors, FL 33305-1249 | 2018-10-23 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | TREASURE ISLAND |
| Zip Code | 33706 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.