ST PETERSBURG EAR NOSE & THROAT CTR LLC (NPI# 1518044288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518044288 |
| Entity Type | Organization |
| Organization Name | ST PETERSBURG EAR NOSE & THROAT CTR LLC |
| Practice Address |
2299 9th Ave N Suite 3b St Petersburg FL 33713-6800 |
| Practice Telephone | 7273213344 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICIA A GILROY (OWNER) |
| Authorized Official Telephone | 7273213344 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
ME90004 | FL | Allopathic & Osteopathic Physicians |
| X | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
ME90004 | FL | Allopathic & Osteopathic Physicians |
| X | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
ME90004 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2299 9TH AVE N SUITE 3B |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265424378 | Brien E Pierpont | Specialist | 2299 9th Ave N, Suite 3-c, St Petersburg, FL 33713-6800 | 2005-08-16 |
| 1932505310 | Chandrika Patel | Nurse Practitioner | 2299 9th Ave N, Suite 1f, St Petersburg, FL 33713-6800 | 2014-11-12 |
| 1932526514 | Javier A Lopez Moncayo | Internal Medicine | 2299 9th Ave N, N Suite 1f, St Petersburg, FL 33713-6800 | 2014-03-21 |
| 1497055883 | Brien E Pierpont Md Pa | Internal Medicine | 2299 9th Ave N, Ste 3-c, St Petersburg, FL 33713-6800 | 2010-11-01 |
| 1003134297 | William W Adams Md Pa | Plastic Surgery | 2299 9th Ave N, 2-c, St Petersburg, FL 33713-6800 | 2010-05-12 |
| 1386971034 | Richard Eugene Phares | Specialist | 2299 9th Ave N, 2-c, St Petersburg, FL 33713-6800 | 2009-11-17 |
| 1619112208 | James M Light Md Pa | Clinic/Center | 2299 9th Ave N, Suite1 A, St Petersburg, FL 33713-6800 | 2008-12-10 |
| 1003083247 | Milan Matthew Lombardi | Dermatology | 2299 9th Ave N, Suite 1-d, St Petersburg, FL 33713-6800 | 2008-05-15 |
| 1457524779 | Michael D Murphy | Audiologist | 2299 9th Ave N, Suite 3-b, St Petersburg, FL 33713-6800 | 2008-04-08 |
| 1417149873 | Kamalakar Amaravadi | Internal Medicine | 2299 9th Ave N, Suite 1f, St Petersburg, FL 33713-6800 | 2007-08-09 |
| 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 | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669573028 | Kathleen M Wasylik | Otolaryngology | 601 5th St. South, #701, St Petersburg, FL 33701 | 2006-09-26 |
| 1205008646 | Rose Stavinoha Trowbridge | Otolaryngology | 601 5th St S, Suite 701, St Petersburg, FL 33701-4804 | 2008-03-26 |
| 1235327495 | Andrew Robert Simonsen | Otolaryngology | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389962 | Pediatric Ent of Southwest Florida Pllc | Otolaryngology | 19 Georgetown, Fort Myers, FL 33919-1088 | 2014-05-21 |
| 1508002072 | Pediatric Ent, LLC | Otolaryngology | 1499 S Harbor City Blvd Ste 303, Melbourne, FL 32901-3245 | 2009-01-05 |
| 1285888396 | Yamilet Tirado | Otolaryngology | 3100 S.w. 62nd Avenue, Suite 124, Miami, FL 33155 | 2008-11-17 |
| 1295928380 | Aiysha C Balbosa | Otolaryngology | 5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 | 2007-08-22 |
| 1801002100 | Kyle Leslie Bressler | Otolaryngology | 6754 Stonegate Dr, Naples, FL 34109-7224 | 2007-05-15 |
| 1114011707 | Karin Swisher Hotchkiss | Otolaryngology | 5105 N Armenia Ave, Tampa, FL 33603-1405 | 2006-10-03 |
| 1568554400 | Scott Brietzke | Otolaryngology | 1131 N 35th Ave Ste 300, Hollywood, FL 33021 | 2006-09-29 |
| 1801902739 | Saswata Roy | Otolaryngology | 11705 San Jose Blvd, Ste 103, Jacksonville, FL 32223-1835 | 2006-08-22 |
| 1275588303 | Daniel L Wohl | Otolaryngology | 4114 Sunbeam Rd, Suite 403, Jacksonville, FL 32257-8847 | 2006-05-24 |
| 1487628251 | David L Mandell | Otolaryngology | 10150 Hagen Ranch Road, Suite 100, Boynton Beach, FL 33437 | 2006-02-16 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on ST PETERSBURG EAR NOSE & THROAT CTR LLC.
| 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.