RICHARD T ELIASON (NPI# 1184862849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184862849 |
| Entity Type | Individual |
| Full Name | RICHARD T ELIASON |
| Credential | MD |
| Practice Address |
863 3rd Ave N St Petersburg FL 33701-2703 |
| Practice Telephone | 7278211200 |
| Mailing Telephone | 7278211200 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME13591 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
863 3RD AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232016 | Susan Deborah Bailey | Nurse Practitioner | 863 3rd Ave N, St Petersburg, FL 33701-2703 | 2005-08-11 |
| 1922309178 | Trudy Cheri Grossman | Nurse Practitioner | 863 3rd Ave N, St Petersburg, FL 33701-2703 | 2010-11-04 |
| 1154595437 | Alan B Campbell | General Practice | 863 3rd Ave N, St Petersburg, FL 33701-2703 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386110765 | Verify Md Inc. | General Practice | 360 Central Ave Ste 1360, St Petersburg, FL 33701-3838 | 2018-10-23 |
| 1336279835 | Nhu Van Bui | General Practice | 3731 Central Ave, St Petersburg, FL 33713 | 2007-03-06 |
| 1316050115 | Judith Ellen Kline | General Practice | 750 94 Ave N, #201, St Petersburg, FL 33702 | 2006-08-16 |
| 1629006259 | Bhanuprasad Patel | General Practice | 5520 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1204 | 2006-06-30 |
| 1386258127 | Suncoast Msk, LLC | General Practice | 6514 Central Ave, St Petersburg, FL 33707-1330 | 2020-08-31 |
| 1205347127 | Vein Institute of Pinellas LLC | General Practice | 5500 9th St N, St Petersburg, FL 33703-1204 | 2017-10-18 |
| 1215318936 | Noushin Yazdani | General Practice | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2015-06-18 |
| 1548648561 | Bernard Philippe | General Practice | 1839 Central Ave, St Petersburg, FL 33713 | 2015-05-11 |
| 1871986992 | Dennis Daake | General Practice | 6177 Sun Blvd, St Petersburg, FL 33715-1169 | 2015-03-13 |
| 1497189971 | Jorge Luis Torres | General Practice | 6703 38th Ave N, St Petersburg, FL 33710-1536 | 2013-09-03 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on RICHARD T ELIASON.
| 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.