WOOLDRIDGE MEDICAL GROUP, LLC (NPI# 1124365523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124365523 |
| Entity Type | Organization |
| Organization Name | WOOLDRIDGE MEDICAL GROUP, LLC |
| Practice Address |
1345 W Bay Dr Suite 405 Largo FL 33770-2282 |
| Practice Telephone | 7272139888 |
| Mailing Telephone | 7272139888 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | DR. STANLEY S MOLES (PHYSICIAN / OWNER) |
| Authorized Official Telephone | 7272139888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME 9287 | FL | Other Service Providers |
| Street Address |
1345 W BAY DR SUITE 405 |
| City | LARGO |
| State | FL |
| Zip Code | 33770-2282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225010275 | Joann M Howell | Nurse Practitioner | 1345 W Bay Dr, Ste 301, Largo, FL 33770-2282 | 2005-11-16 |
| 1861929788 | Christopher John Baietto | Physical Therapist | 1345 W Bay Dr, Largo, FL 33770-2282 | 2017-05-23 |
| 1376089649 | Ability Health Services and Rehabilitation Lp | Clinic/Center | 1345 W Bay Dr, Largo, FL 33770-2282 | 2017-01-11 |
| 1417490822 | Suncoast Chest Physicians LLC | Internal Medicine | 1345 W Bay Dr, Suite 205, Largo, FL 33770-2282 | 2016-12-02 |
| 1033503099 | Optumcare Florida, LLC | Non-Pharmacy Dispensing Site | 1345 W Bay Dr, Suite 202, Largo, FL 33770-2282 | 2015-03-26 |
| 1073954525 | Andrea Marie Risen | Physician Assistant | 1345 W Bay Dr, Ste 304, Largo, FL 33770 | 2013-07-12 |
| 1871898585 | Matthew Hutchison | Orthopaedic Surgery | 1345 W Bay Dr, Suite 401 & 402, Largo, FL 33770-2282 | 2011-01-12 |
| 1497062186 | Joel Rivera-rodriguez | Internal Medicine | 1345 W Bay Dr, Largo, FL 33770-2282 | 2010-09-02 |
| 1427372739 | Alecia Johnson | Physical Therapist | 1345 W Bay Dr, Largo, FL 33770-2282 | 2010-03-16 |
| 1982815288 | Jesse J Klein | Internal Medicine | 1345 W Bay Dr, Suite 101, Largo, FL 33770-2276 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598108706 | Kristin Woodward | Specialist | 1754 Indian Rocks Rd S, Largo, FL 33774-1027 | 2013-04-08 |
| 1093077711 | Betty Jakubik-randolph | Specialist | 740 13th Ave Sw, Largo, FL 33770-4442 | 2012-06-08 |
| 1891021713 | Frenchie Cooke Barron | Specialist | 8799 Bardmoor Blvd, #104, Largo, FL 33777-2236 | 2009-10-28 |
| 1043457666 | J. Paonessa M.d. P.a. | Specialist | 100 Highland Ave N, Largo, FL 33770-2542 | 2009-01-20 |
| 1689823031 | John Sellers | Specialist | 3497 19th Pl Sw, Largo, FL 33774-1139 | 2008-09-10 |
| 1043498934 | Kendall Bruce Eckert | Specialist | 4209 Imperial Palm Ct, Largo, FL 33771-1616 | 2008-02-04 |
| 1740319268 | Guy P Lafond | Specialist | 220 Poinciana Ln, Largo, FL 33770-2615 | 2007-03-02 |
| 1699840884 | Stephen T Duvall | Specialist | 333 16th Ave Se, Largo, FL 33771 | 2006-11-22 |
| 1457437055 | Michael King Jason | Specialist | 8839 Bryan Dairy Rd, Suite 300, Largo, FL 33777-1203 | 2006-10-27 |
| 1184711939 | Carol Jean Schultz | Specialist | 13300 Walsingham Road, # 85, Largo, FL 33774 | 2006-10-05 |
| Find all providers in LARGO | ||||
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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.