SHOBA SRIKANTAN (NPI# 1558478289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558478289 |
| Entity Type | Individual |
| Full Name | SHOBA SRIKANTAN |
| Credential | MD |
| Practice Address |
1033 Dr Martin Luther King Jr St N Suite 108 St Petersburg FL 33701-1547 |
| Practice Telephone | 7274564250 |
| Practice Fax Number | 7273461044 |
| Mailing Telephone | 7274564250 |
| Mailing Fax Number | 7273461044 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
ME90295 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | 43152X | 01 |
| FL | 269933800 | 05 |
| Street Address |
1033 DR MARTIN LUTHER KING JR ST N SUITE 108 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033195235 | Elizabeth E Banks | Pediatrics | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2005-12-20 |
| 1275874315 | Jaime L Ulrich | Physician Assistant | 1033 Dr Martin Luther King Jr St N, Ste. 108, St Petersburg, FL 33701-1547 | 2013-03-14 |
| 1811241607 | Michael Austin Piety | Nurse Practitioner | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2012-11-01 |
| 1093082133 | Blaine A Klopotek | Physician Assistant | 1033 Dr Martin Luther King Jr St N, Ste. 108, St Petersburg, FL 33701-1547 | 2011-11-17 |
| 1407144710 | Susan Mae Mauer | Nurse Practitioner | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2011-07-20 |
| 1497085567 | Fpa Specialists, LLC | Pediatrics | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2010-01-12 |
| 1609006634 | Christie Jo Fuller | Nurse Practitioner | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2009-07-24 |
| 1679759880 | Kenneth Christopher Collins | Clinical Nurse Specialist | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2008-01-17 |
| 1235327495 | Andrew Robert Simonsen | Otolaryngology | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2007-10-11 |
| 1568662641 | Amy Arthur | Audiologist | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2007-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942569454 | Farhan Malik | Pediatrics | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2012-05-04 |
| 1508031162 | Julia Noether Ashworth | Pediatrics | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2008-04-24 |
| 1740452150 | Julia Elaine Mercer | Pediatrics | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2008-03-25 |
| 1598883522 | Jason Parker | Pediatrics | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2007-03-27 |
| 1043327752 | Lawrence Spack | Pediatrics | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2006-08-25 |
| 1902914633 | John Tilelli | Pediatrics | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2006-08-25 |
| 1285666834 | John Haffner | Pediatrics | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2006-07-06 |
| 1649208430 | Nick William Parilla | Pediatrics | 1033 Dr Martin Luther King Jr St N, Ste. 108, St Petersburg, FL 33701-1547 | 2006-06-29 |
| 1073540092 | Michelle Marie Smith | Pediatrics | 501 6th Ave S, Dept # 6580070302, St Petersburg, FL 33701-4634 | 2006-06-26 |
| 1871529842 | Richard Elmer Weibley | Pediatrics | 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701-1547 | 2006-06-23 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on SHOBA SRIKANTAN.
| 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.