JUSTIN STODDARD BIDWELL (NPI# 1437264256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437264256 |
| Entity Type | Individual |
| Full Name | JUSTIN STODDARD BIDWELL |
| Credential | PA-C |
| Practice Address |
5880 49th St N Suite N-104 St Petersburg FL 33709-2150 |
| Practice Telephone | 7275286100 |
| Practice Fax Number | 7275287895 |
| Mailing Telephone | 7275286100 |
| Mailing Fax Number | 7275287895 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9102405 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | U0897Y | 01 |
| FL | 291591000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2191 9th Ave N Ste 105, St Petersburg, FL 337137147 | 7275286100 | 7275287895 |
| Street Address |
5880 49TH ST N SUITE N-104 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457322844 | David H Silverstein | Specialist | 5880 49th St N, Suite N-207, St Petersburg, FL 33709-2150 | 2006-02-01 |
| 1568728921 | Manishi G Mukherjee Md Pa | Obstetrics & Gynecology | 5880 49th St N, St Petersburg, FL 33709-2150 | 2012-04-10 |
| 1508138314 | Fermina Alia Pirmohamed | Psychiatry & Neurology | 5880 49th St N, Ste 104, St Petersburg, FL 33709-2150 | 2012-02-09 |
| 1063795706 | Jennifer E Matos-rodriguez | Psychiatry & Neurology | 5880 49th St N, Suite N-104, St Petersburg, FL 33709-2150 | 2011-09-20 |
| 1407188527 | David H. Silverstein, Md, Pa | Specialist | 5880 49th St N, Suite N-207, St Petersburg, FL 33709-2150 | 2010-02-01 |
| 1235386772 | Pinellas Internal Medicine Specialists, Pa | Specialist | 5880 49th St N, Suite N105, St Petersburg, FL 33709-2150 | 2008-08-27 |
| 1548417488 | Vilas Deshpande M.d., Pa | Specialist | 5880 49th St N, Suite 101-n, St Petersburg, FL 33709-2150 | 2008-08-22 |
| 1073773206 | Leah Jacqueline Stubblefield | Physician Assistant | 5880 49th St N, Ste 104, St Petersburg, FL 33709-2150 | 2008-06-11 |
| 1194931832 | Angelo M Alves | Psychiatry & Neurology | 5880 49th St N, Suite 108, St Petersburg, FL 33709-2142 | 2007-05-16 |
| 1013035146 | American Family & Geriatric Care Pa | Internal Medicine | 5880 49th St N, Suite 101 N, St Petersburg, FL 33709-2150 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969378 | Odalys Caro | Physician Assistant | 6500 20th St N, St Petersburg, FL 33702-7112 | 2020-10-14 |
| 1417587106 | Hannah Newman | Physician Assistant | 1667 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-01-22 |
| 1740752526 | Michelle Ciesla | Physician Assistant | 2640 14th Ave N, St Petersburg, FL 33713-5813 | 2018-12-18 |
| 1205328978 | Alfredo Jose Gotera Avila | Physician Assistant | 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 | 2018-05-30 |
| 1578074043 | Ekta H Patel | Physician Assistant | 125 5th Ave Ne Apt 260, St Petersburg, FL 33701-3038 | 2017-10-23 |
| 1225495526 | Kelly Marie Egan | Physician Assistant | 2736 4th Ave N, St Petersburg, FL 33713-7824 | 2016-01-19 |
| 1992125264 | Casie J Parker | Physician Assistant | 603 7th Street S, Ste 540, St Petersburg, FL 33701 | 2014-04-24 |
| 1407174824 | Gina Mendez | Physician Assistant | 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 | 2010-05-10 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1720211725 | Christina Marie Tomasino | Physician Assistant | 3140 9th Ave N, St Petersburg, FL 33713-6626 | 2009-08-25 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on JUSTIN STODDARD BIDWELL.
| 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.