JONATHAN CEDRIC THORNTON (NPI# 1104928282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104928282 |
| Entity Type | Individual |
| Full Name | JONATHAN CEDRIC THORNTON |
| Credential | M.D. |
| Practice Address |
6499 38th Ave N Suite B-2 St Petersburg FL 33710-1656 |
| Practice Telephone | 7273476635 |
| Practice Fax Number | 7273430913 |
| Mailing Telephone | 7273476635 |
| Mailing Fax Number | 7273430913 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 50125 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720494230 | Jonathan Thornton | Emergency Medicine | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2014-07-03 |
| 1487821187 | Jonathan Andrew Thornton | Physician Assistant | 300 Tower Rd Ne Ste 200, Marietta, GA 30060-9403 | 2008-05-12 |
| 1538378211 | Jonathan Thornton | Occupational Therapist | 905 Harding Ave, Canon City, CO 81212-2147 | 2007-05-21 |
| 1508919424 | Jonathan David Thornton | Social Worker | 75 Grand Ave, Massapequa, NY 11758-4905 | 2007-01-22 |
| Street Address |
6499 38TH AVE N SUITE B-2 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033183447 | Comprehensive Consultant Services | Pharmacy | 6499 38th Ave N, Ste A1, St Petersburg, FL 33710-1656 | 2006-02-14 |
| 1902162290 | Keith Runyan, Md | Internal Medicine | 6499 38th Ave N, Suite C-1, St Petersburg, FL 33710-1656 | 2012-04-11 |
| 1467755488 | Southcare Pharmacy Inc | Pharmacy | 6499 38th Ave N, Ste A1, St Petersburg, FL 33710-1656 | 2010-12-14 |
| 1841324837 | Mark James Ather | Pharmacist | 6499 38th Ave N, St Petersburg, FL 33710-1656 | 2007-03-14 |
| 1699801928 | Bruce Ungerleider | Family Medicine | 6499 38th Ave N, Suite B-1, St Petersburg, FL 33710-1656 | 2007-02-23 |
| 1588757520 | William Gross, Dpm, Pa | Podiatrist | 6499 38th Ave N, Suite C-2, St Petersburg, FL 33710-1656 | 2006-10-02 |
| 1609896737 | William Gross | Podiatrist | 6499 38th Ave N, Suite C-2, St Petersburg, FL 33710-1656 | 2006-07-20 |
| 1013950401 | Bon-bone Medical Imaging, Inc. | Radiology | 6499 38th Ave N, Suite G2, St Petersburg, FL 33710-1656 | 2006-06-13 |
| 1487616017 | Anilkumar N Raiker | Internal Medicine | 6499 38th Ave N, Suite G1, St Petersburg, FL 33710-1656 | 2006-04-06 |
| 1730142373 | Anil N. Raiker, M.d., P.l.c. | Internal Medicine | 6499 38th Ave N, Suite G1, St Petersburg, FL 33710-1656 | 2006-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981338 | Alexandra Coad | Dermatology | 2191 9th Ave N Ste 100, St Petersburg, FL 33713-7147 | 2019-09-19 |
| 1417421066 | Yvonne L Bruner | Dermatology | 4307 71st St N, St Petersburg, FL 33709-4513 | 2019-01-16 |
| 1396126744 | Katarina Rose Kesty | Dermatology | 100 40th Ave N, St Petersburg, FL 33703-6125 | 2015-06-11 |
| 1619105145 | Dermatology Partners of Saint Petersburg, LLC | Dermatology | 501 Mlk Jr St S, St Petersburg, FL 33705-1814 | 2009-06-23 |
| 1124215199 | John F Kirk Md, Pa | Dermatology | 4444 Central Ave, St Petersburg, FL 33711-1142 | 2007-10-03 |
| 1316139249 | Elizabeth Arrington | Dermatology | 1530 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-4202 | 2007-08-14 |
| 1063517050 | Wanda M Boote | Dermatology | 2060 5th Ave N, St Petersburg, FL 33713-8012 | 2006-09-14 |
| 1689688830 | Carol Jeanne Sims-robertson | Dermatology | 2100 Dr Martin Luther King Jr St N, Divine Dermatology Pllc, St Petersburg, FL 33704-3264 | 2006-07-27 |
| 1841240462 | Margaret Ann Kelleher | Dermatology | 6110 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1142 | 2006-05-12 |
| 1609840487 | Margaret H Rinker | Dermatology | 6450 38th Ave N Ste 330, St Petersburg, FL 33710-1649 | 2006-02-16 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.