MS. GLORIA JEAN SHARP (NPI# 1639291370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639291370 |
| Entity Type | Individual |
| Full Name | MS. GLORIA JEAN SHARP |
| Credential | PA-C |
| Practice Address |
455 Pinellas St Ste 320 Clearwater FL 33756-3369 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 7274462273 |
| Practice Fax Number | 7274414966 |
| Mailing Telephone | 7275321355 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
9101473 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HUMANA | 2122308 | 01 |
| FL | BLUE CROSS BLUE SHIELD | Y00N2 | 01 |
| FL | BCBS | 21666 | 01 |
| FL | 292759400 | 05 |
| Street Address |
455 PINELLAS ST STE 320 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963297 | Jeffrey N Bott | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 455 Pinellas St Ste 320, Clearwater, FL 33756-3369 | 2005-06-27 |
| 1548704117 | Anna R Franklin | Nurse Practitioner | 455 Pinellas St Ste 320, Clearwater, FL 33756-3369 | 2016-12-15 |
| 1821530932 | Heather Dawson | Nurse Practitioner | 455 Pinellas St Ste 320, Clearwater, FL 33756-3369 | 2016-11-07 |
| 1972893220 | Michael Owen Kayatta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 455 Pinellas St Ste 320, Clearwater, FL 33756 | 2011-04-07 |
| 1154570851 | Susan M Shafii | Surgery | 455 Pinellas St Ste 320, Clearwater, FL 33756-3369 | 2008-09-17 |
| 1669405841 | Philip Craig Ovadia | Surgery | 455 Pinellas St Ste 320, Clearwater, FL 33756-3369 | 2006-07-09 |
| 1659367407 | Diana Hertel Walter | Physician Assistant | 455 Pinellas St Ste 320, Clearwater, FL 33756-3369 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1487108288 | Andreas Demopoulos | Physician Assistant | 19277 Hwy 19 N, Clearwater, FL 33761-7360 | 2016-08-09 |
| 1003096652 | Elizabeth Marie Weaver | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2007-11-13 |
| 1558323782 | Amy Termine | Physician Assistant | 29277 Us 19 N, Clearwater, FL 33761-2102 | 2006-04-04 |
| 1871567313 | Nancy J Andrejack | Physician Assistant | 1865 N Keene Rd, Clearwater, FL 33755-2314 | 2006-02-13 |
| 1538162292 | Brenda Hoy | Physician Assistant | 455 Pinellas St, Suite 320, Clearwater, FL 33756-3369 | 2005-05-24 |
| 1003452426 | Felix Esparra-santiago | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2019-11-20 |
| 1881170835 | Bruce J. Farmer | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2018-07-12 |
| 1558860163 | Jeffrey Smith | Physician Assistant | 29277 Us Highway 19 N, Clearwater, FL 33761-2102 | 2018-02-09 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on MS. GLORIA JEAN SHARP.
| 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.