PASADENA ENT PA (NPI# 1497776678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497776678 |
| Entity Type | Organization |
| Organization Name | PASADENA ENT PA |
| Practice Address |
6827 First Avenue South Suite 100 St Petersburg FL 33707-4516 |
| Practice Telephone | 7273410551 |
| Practice Fax Number | 7273410332 |
| Mailing Telephone | 7273410551 |
| Mailing Fax Number | 7273410332 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2014-06-20 |
| Authorized Official Name | ROY SPENCE (OFFICE MANAGER) |
| Authorized Official Telephone | 7273410551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME82762 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 261879600 | 05 |
| Street Address |
6827 FIRST AVENUE SOUTH SUITE 100 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33707-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948272 | Timothy M Dunlevy | Otolaryngology | 6827 First Avenue South, Suite 100, St Petersburg, FL 33707-4516 | 2005-11-09 |
| 1558329300 | Shelley Sue Jaquish | Otolaryngology | 6827 First Avenue South, Suite 100, St Petersburg, FL 33707-4516 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| 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 |
|---|---|---|---|---|
| 1134597826 | Phillip Wood Jr. | Specialist | 5153 68th Ln N, St Petersburg, FL 33709-2865 | 2015-09-11 |
| 1194113340 | Tampa Bay Diabetes, Thyroid, & Endocrinology Center, Pa | Specialist | 5775 5th Ave N, St Petersburg, FL 33710-7103 | 2014-12-22 |
| 1225448467 | Peter Karempelis | Specialist | 601 5th St S Ste 701, St Petersburg, FL 33701-4804 | 2014-04-28 |
| 1932540416 | Mallory Anne Ventsam | Specialist | 511 66th St N, St Petersburg, FL 33710-6939 | 2013-07-11 |
| 1407106552 | Frederick Edward Swartz | Specialist | 5980 80th St N Unit 104, St Petersburg, FL 33709-1003 | 2012-09-17 |
| 1215232319 | Donald B Morris M.d., P.a. | Specialist | 1111 7th Ave N Ste 101, St Petersburg, FL 33705-1348 | 2011-01-20 |
| 1346542966 | Scott Daniel Heikka | Specialist | 2701 18th Ave N, St Petersburg, FL 33713-4935 | 2010-12-02 |
| 1295040541 | Diane Lee Heron | Specialist | 105 5th Ave Ne, St Petersburg, FL 33701-3015 | 2010-08-11 |
| 1417274937 | Freddie L Mcrae Md Pa | Specialist | 603 7th St S Ste 520, St Petersburg, FL 33701-4734 | 2010-04-23 |
| 1538485610 | Beecum & Beecum Md Pa | Specialist | 7000 54th Ave N, St Petersburg, FL 33709-1304 | 2010-04-14 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33707 |
Please comment or provide details below to improve the information on PASADENA ENT PA.
| 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.