USCG CLINIC ST PETERSBURG (NPI# 1558907873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558907873 |
Entity Type | Organization |
Organization Name | USCG CLINIC ST PETERSBURG |
Practice Address |
600 8th Ave Se St Petersburg FL 33701-5030 |
Practice Telephone | 7275351437 |
Mailing Telephone | 7275351437 |
Enumeration Date | 2019-11-21 |
Last Update Date | 2019-11-21 |
Authorized Official Name | DEBRA FITZGERALD (HEALTH SYSTEMS SPECIALIST) |
Authorized Official Telephone | 7576284363 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
Street Address |
600 8TH AVE SE |
City | ST PETERSBURG |
State | FL |
Zip Code | 33701-5030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477531671 | Kevin F. Cronin | Military Health Care Provider | 600 8th Ave Se, St Petersburg, USA 33701 | 2006-01-06 |
1770728107 | Gabriel P Hogg | Technician, Other | 600 8th Ave Se, St Petersburg, FL 33701-5030 | 2008-12-15 |
1124294111 | Annelies Swarts Byington | Military Health Care Provider | 600 8th Ave Se, St Petersburg, FL 33701-5030 | 2008-04-30 |
1265637847 | Derrick Dejuan Pettis | Emergency Medical Technician, Basic | 600 8th Ave Se, St Petersburg, FL 33701-5030 | 2007-06-15 |
1255536777 | Karen L Gordon | Dental Hygienist | 600 8th Ave Se, St Petersburg, FL 33701-5030 | 2007-06-15 |
1992893887 | Us Coast Guard | Technician, Other | 600 8th Ave Se, St Petersburg, FL 33701-5030 | 2006-10-10 |
1740387596 | St Petersburg Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 600 8th Ave Se, St Petersburg, FL 33701-5030 | 2006-09-20 |
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 | 261QM1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Military/U.S. Coast Guard Outpatient |
The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326553280 | Branch Medical Clinic Mayport | Clinic/Center | 2130 Mayport Rd, Jacksonville, FL 32233-2753 | 2017-12-13 |
1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
1871664060 | Us Navy | Clinic/Center | 340 Hulse Rd Bldg 665 Suite 105, 850-452-8051, Pensacola, FL 32508-1089 | 2006-11-11 |
1053826917 | Branch Medical Clinic Key West | Clinic/Center | 1300 Douglas Cir, Key West, FL 33040-4536 | 2017-12-13 |
1104331065 | Branch Medical Clinic Jacksonville | Clinic/Center | 964 Ajax St, Jacksonville, FL 32214-0001 | 2017-12-13 |
1760928923 | Uscg Clinic Air Station Miami | Clinic/Center | 14750 Nw 44th Ct, Opa Locka, FL 33054-2304 | 2017-01-12 |
1710206727 | Uscg Key West Clinic | Clinic/Center | 100 Trumbo Rd, Key West, FL 33040-6655 | 2010-06-01 |
1164679601 | Martin Army Community Hospital | Clinic/Center | 6069 Walkers Ln, Tmc 12 Camp Rudder, Eglin Afb, FL 32542-8505 | 2008-08-27 |
1114117173 | Branch Medical Clinic Panama City | Clinic/Center | 6703 W Highway 98, Panama City, FL 32407-7000 | 2007-07-26 |
1376733527 | Branch Medical Clinic Nattc | Clinic/Center | 760 East Ave, Pensacola, FL 32508-5140 | 2007-07-25 |
Find all providers with the same taxonomy |
City | ST PETERSBURG |
Zip Code | 33701 |
Please comment or provide details below to improve the information on USCG CLINIC ST PETERSBURG.
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.