KENDRA DENISE DEANGELIS (NPI# 1043506595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043506595 |
| Entity Type | Individual |
| Full Name | KENDRA DENISE DEANGELIS |
| Other Name | KENDRA DENISE CLEMONS |
| Credential | M.D. |
| Practice Address |
2963 Gulf To Bay Blvd Ste 267 Clearwater FL 33759-4209 |
| Mailing Address |
2963 Gulf To Bay Blvd Ste 267 Clearwater FL 33759-4255 |
| Practice Telephone | 7872858006 |
| Practice Fax Number | 7272166560 |
| Mailing Telephone | 7272858006 |
| Mailing Fax Number | 7272166560 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | ME136932 | FL | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
ME136932 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CAQH | 13809966 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 Church St, Suite 100, Nashville, TN 372032208 | 6153293624 | 6153290639 |
| Street Address |
2963 GULF TO BAY BLVD STE 267 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33759-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163119 | Neil Hook, O.d. and Associates, P.a. | Optometrist | 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 | 2017-09-26 |
| 1306366224 | Caitlin Elise Sullivan | Chiropractor | 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 | 2017-06-21 |
| 1881018851 | Monica Adam | Counselor | 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 | 2014-02-12 |
| 1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
| 1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
| 1710245279 | Allison H Aschenbrenner | Physical Therapist | 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 | 2012-05-02 |
| 1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
| 1487886164 | Christina D Brown | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2009-08-14 |
| 1548408248 | Len F. Leeb | Counselor | 2641 Harbor Circle, Clearwater, FL 33759 | 2009-02-03 |
| 1750544615 | Dolphin II Diagostics Inc. | Contractor | 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 | 2008-07-09 |
| Find all providers in zip 33759 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396137 | Kenneth Richard Kesty | Ophthalmology | 1395 Brightwaters Blvd Ne, St Petersburg, FL 33704-3807 | 2020-02-02 |
| 1356803167 | Westsite Management LLC | Ophthalmology | 10088 Indiantown Rd Ste B, Jupiter, FL 33478-4738 | 2019-04-01 |
| 1912456104 | Mitch Levin | Ophthalmology | 1402 Green Cove Rd, Winter Park, FL 32789-2551 | 2016-09-28 |
| 1457794935 | Kyle Fitzgerald Cox | Ophthalmology | 345 Clyde Morris Blvd Ste 330, Ormond Beach, FL 32174 | 2013-04-15 |
| 1619119948 | Crystal River Eye Center,llc | Ophthalmology | 295 Se Us Highway 19, Crystal River, FL 34429-4880 | 2009-04-01 |
| 1932292935 | James Randall Patrinely | Ophthalmology | 17 E Main St Ste 100, Pensacola, FL 32502-5998 | 2006-10-02 |
| 1275534182 | Karen L Chapman | Ophthalmology | 1750 S Osprey Ave, Sarasota, FL 34239-3511 | 2005-08-02 |
| 1831735224 | Mohadjer Consulting LLC | Ophthalmology | 8855 9th St N Ste 100, St Petersburg, FL 33702-3443 | 2019-11-21 |
| 1760911796 | Dr Dan Plastic Surgery | Ophthalmology | 1776 N Pine Island Rd Ste 218, Plantation, FL 33322-5223 | 2017-06-04 |
| 1619423845 | Gulfstream Eye, Pllc | Ophthalmology | 555 Nw Lake Whitney Pl Ste 105, Port Saint Lucie, FL 34986-1623 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33759 |
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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.