DR. RALPH ANGELO DEMATTEIS (NPI# 1346219698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346219698 |
| Entity Type | Individual |
| Full Name | DR. RALPH ANGELO DEMATTEIS |
| Credential | M.D. |
| Practice Address |
2191 9th Ave N Suite 110 St Petersburg FL 33713-7146 |
| Mailing Address |
1900 72nd Ave Ne St Petersburg FL 33702-4716 |
| Practice Telephone | 7273221600 |
| Mailing Telephone | 7275278354 |
| Mailing Fax Number | 7275253867 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME21255 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 054100100 | 05 |
| Street Address |
2191 9TH AVE N SUITE 110 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-7146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974490 | Americare Physicians Group, LLC | Internal Medicine | 2191 9th Ave N, Suite 115, St Petersburg, FL 33713-7146 | 2005-07-07 |
| 1063045821 | Kelly Tyrrell Range | Nurse Practitioner | 2191 9th Ave N, St Petersburg, FL 33713-7146 | 2020-02-19 |
| 1053858563 | Melissa Roberts | Nurse Practitioner | 2191 9th Ave N, St Petersburg, FL 33713-7146 | 2017-01-22 |
| 1508117391 | Janet A Loo | Nurse Practitioner | 2191 9th Ave N, Ste 110, St Petersburg, FL 33713-7146 | 2012-09-20 |
| 1699052118 | Ashley Morris Wicks | Physician Assistant | 2191 9th Ave N, Suite 200, St Petersburg, FL 33713-7146 | 2011-11-11 |
| 1811205990 | Ralph A. Dematteis Md Pl | Surgery | 2191 9th Ave N, Suite 240, St Petersburg, FL 33713-7146 | 2010-09-22 |
| 1841451960 | Choice Hospital Consultants, Pa | Family Medicine | 2191 9th Ave N, Ste 105, St Petersburg, FL 33713-7146 | 2008-06-20 |
| 1235328998 | Christopher M Davey Md Pa | Family Medicine | 2191 9th Ave N, Suite 115, St Petersburg, FL 33713-7146 | 2007-10-18 |
| 1679761118 | Carol L Pappas Md Phd Pa | Psychiatry & Neurology | 2191 9th Ave N, #230, St Petersburg, FL 33713-7146 | 2007-10-10 |
| 1013102409 | Natalie Eudora Bastien | Nurse Practitioner | 2191 9th Ave N, Suite 110, St Petersburg, FL 33713-7146 | 2007-09-10 |
| Find all providers in the same location | ||||
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780746008 | Jeff Mathew | Surgery | 5880 49th St N Ste 206, St Petersburg, FL 33709-2147 | 2006-12-14 |
| 1033205356 | George R Daicoff | Surgery | 4950 28th Ave N, St Petersburg, FL 33710-2742 | 2006-10-05 |
| 1619080793 | William Maurice Blackshear Jr. | Surgery | 7292 4th St N, Suite B, St Petersburg, FL 33702-5813 | 2006-08-16 |
| 1174173421 | Pinellas Vascular LLC | Surgery | 5880 49th St N Ste 206, St Petersburg, FL 33709-2147 | 2019-09-18 |
| 1427390608 | Vascular Interventional Pavilion, LLC | Surgery | 3500 38th Ave N, St Petersburg, FL 33713-1448 | 2013-03-26 |
| 1568731958 | William M Blackshear Jr Md Pa | Surgery | 7292 4th St N, Suite B, St Petersburg, FL 33702-5813 | 2011-12-14 |
| 1083904593 | Chun Kevin Yang | Surgery | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2011-04-18 |
| 1871810655 | Benjamin Edward Szpila | Surgery | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2010-05-03 |
| 1962499715 | Paul Steven Collins | Surgery | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2005-10-05 |
| 1013903244 | Eugene A Murphy | Surgery | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-09-22 |
| Find all providers in ST PETERSBURG | ||||
| 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.