OHI WEST MEDICAL GROUP, LLC (NPI# 1285240192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285240192 |
| Entity Type | Organization |
| Organization Name | OHI WEST MEDICAL GROUP, LLC |
| Other Organization Name | BAYFRONT HEALTH ST. PETERSBURG IMAGING CENTER |
| Practice Address |
2201 Central Ave Ste 100 St Petersburg FL 33713-8844 |
| Mailing Address |
3090 Caruso Ct Ste 50 Orlando FL 32806-8510 |
| Practice Telephone | 7273217057 |
| Practice Fax Number | 7273217049 |
| Mailing Telephone | 4074817174 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MICHEAL B STUBEE (AVP, MANAGED CARE) |
| Authorized Official Telephone | 4074817156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Bayfront Health St. Petersburg Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1619583184 | Ohi West Medical Group, LLC | Clinic/Center | 7000 4th St N, Saint Petersburg, FL 33702-5903 | 2020-09-21 |
| 1518572551 | Ohi West Medical Group, LLC | Family Medicine | 701 6th St S, St Petersburg, FL 33701-4814 | 2020-09-15 |
| Street Address |
2201 CENTRAL AVE STE 100 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729665 | Excel Diagnostic Services LLC | Physiological Laboratory | 1109 Darlington Oak Dr Ne, St Petersburg, FL 33703-6314 | 2005-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619446853 | Myvy Southwest Imaging LLC | Physiological Laboratory | 1160 Kane Concourse Ste 402, Bay Harbor Is, FL 33154-2059 | 2018-11-16 |
| 1366919961 | Richard Thomas Escobar | Physiological Laboratory | 2111 S Pine Ave Ste B, Ocala, FL 34471-8194 | 2018-11-01 |
| 1316398787 | Braincare, LLC | Physiological Laboratory | 12301 Lake Underhill Rd Ste 201, Orlando, FL 32828-4511 | 2016-06-28 |
| 1124486931 | R&r Medx Solutions LLC | Physiological Laboratory | 7144 Stirling Rd, Ste 185, Hollywood, FL 33024-1650 | 2016-02-08 |
| 1730568486 | My Diagnostic Team Inc | Physiological Laboratory | 3114 45th St, Suite 9, West Palm Beach, FL 33407-1945 | 2015-05-28 |
| 1508260399 | Douglas Lyons | Physiological Laboratory | 1250 Diana Ave, Naples, FL 34103-4567 | 2014-10-22 |
| 1275956005 | University of South Florida | Physiological Laboratory | 3702 Spectrum Blvd, Suite 165, Tampa, FL 33612-9444 | 2014-01-30 |
| 1891125936 | Portable Medical Diagnostics, Inc | Physiological Laboratory | 8080 Belvedere Rd Ste 6, West Palm Beach, FL 33411-6224 | 2013-11-26 |
| 1083950752 | Beachway Therapy Treatment Center LLC | Physiological Laboratory | 705 Bond Way Ste B, Delray Beach, FL 33483-5826 | 2012-12-27 |
| 1437494341 | Mr Mobile Testing of Fl, Inc. | Physiological Laboratory | 16711 Collins Ave, Unit 1202, Sunny Isles Beach, FL 33160-4255 | 2012-12-04 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
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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.