GARY F PASTIZZO (NPI# 1073506614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073506614 |
| Entity Type | Individual |
| Full Name | GARY F PASTIZZO |
| Credential | PA |
| Practice Address |
4516 N Armenia Ave Tampa FL 33603-2732 |
| Mailing Address |
Po Box 403444 Atlanta GA 30384-3444 |
| Practice Telephone | 8133486915 |
| Mailing Telephone | 8133486915 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2017-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9110033 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 000626 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | OXFORD | P3501542 | 01 |
| ANTHEM BLUE CROSS | 00420017701 | 01 | |
| CT | CONNECTICARE | 010626 | 01 |
| CT | 003006269 | 05 | |
| ANTHEM BLUE CROSS | 290000626CT02 | 01 | |
| CT | HEALTH NET | 2V6674 | 01 |
| Street Address |
4516 N ARMENIA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33603-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255741344 | Edward Francis Mclaughlin Iv | Radiology | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2014-04-29 |
| 1285051441 | Kunal P Patel | Radiology | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2014-03-26 |
| 1043534001 | Diana Marie Steffen | Physician Assistant | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2010-03-19 |
| 1386878056 | Stern, Drake, Isbell and Assocs Pa | Specialist | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2009-05-11 |
| 1790962983 | Jennifer Schwanke Drukteinis | Radiology | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2008-01-30 |
| 1982828752 | Paul G Swartz | Radiology | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2007-04-12 |
| 1295872240 | Rizwan Afzal Assad | Radiology | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2007-01-31 |
| 1114001252 | Jeffrey Ryan Cottrell | Radiology | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2006-10-25 |
| 1437248853 | Lana Bellon | Radiology | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2006-10-12 |
| 1962504621 | Brian James Montague | Radiology | 4516 N Armenia Ave, Tampa, FL 33603-2732 | 2006-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| 1144839796 | Alana Marie Arcese | Physician Assistant | 10401 Villa View Cir, Tampa, FL 33647-2598 | 2020-07-29 |
| 1437768512 | Jessica Lynn Flores-mcgrath | Physician Assistant | 14411 Audubon Trce Apt 912, Tampa, FL 33613-5402 | 2020-07-24 |
| 1417574104 | Hunter Vila | Physician Assistant | 5033 W Laurel St Ste 100, Tampa, FL 33607-3855 | 2020-06-29 |
| 1003432360 | Jennifer Rose Baker Koebert | Physician Assistant | 4001 E Fletcher Ave Fl 6, Tampa, FL 33613-4808 | 2020-06-23 |
| 1487277109 | Victoria Mahi Verzwyvelt | Physician Assistant | 4714 N Habana Ave Apt 510, Tampa, FL 33614-7126 | 2020-05-28 |
| 1538780853 | Lexy Hazle | Physician Assistant | 2715 W Mississippi Ave, Tampa, FL 33629-6131 | 2020-04-27 |
| 1619509494 | Amy Sullinger | Physician Assistant | 207 S Occident St, Tampa, FL 33609-2526 | 2020-02-10 |
| 1225668122 | Michelle Korthauer | Physician Assistant | 1531 W Lemon St Apt 1101, Tampa, FL 33606-1014 | 2020-01-20 |
| 1992344360 | Marisa Ehrlich Berger | Physician Assistant | 311 W Idlewild Ave, Tampa, FL 33604-6656 | 2020-01-02 |
| Find all providers in TAMPA | ||||
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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.