SC PHYSICIANS LLC (NPI# 1639478589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639478589 |
| Entity Type | Organization |
| Organization Name | SC PHYSICIANS LLC |
| Practice Address |
620 10th Street N. St Petersburg FL 33705-1407 |
| Mailing Address |
Po Box 12868 St Petersburg FL 33733-2868 |
| Practice Telephone | 7275321355 |
| Practice Fax Number | 7272664928 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7272664943 |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | MS. LYNDA A GORKEN (VP, FPS) |
| Authorized Official Telephone | 7275321355 |
| Is Organization Subpart | Y |
| Parent Organization Name | SC PHYSICIANS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841599842 | Sc Physicians LLC | Clinic/Center | 610 7th St S, St Petersburg, FL 33701 | 2011-03-17 |
| 1811295454 | Sc Physicians LLC | Clinic/Center | 620 10th Street N, St Petersburg, FL 33705-1407 | 2011-03-07 |
| 1841589330 | Sc Physicians LLC | Clinical Medical Laboratory | 620 10th St N, St Petersburg, FL 33705-1407 | 2011-04-05 |
| 1346549292 | Sc Physicians LLC | Clinic/Center | 601 7th St S, St Petersburg, FL 33701-4704 | 2011-03-17 |
| 1780983700 | Sc Physicians LLC | Radiology | 601 7th St S, St Petersburg, FL 33701-4704 | 2011-03-16 |
| 1780982280 | Sc Physicians LLC | Durable Medical Equipment & Medical Supplies | 1099 5th Ave N, Suite 110, St Petersburg, FL 33705-1469 | 2011-03-08 |
| Street Address |
620 10TH STREET N. |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363836 | Raquelle Alexander | Allergy & Immunology | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-08-16 |
| 1033474184 | Lataura Atwell-small | Family Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2012-07-05 |
| 1245466093 | Timi Donn Maloney | Family Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2009-06-08 |
| 1194986281 | Amy Bolton Koenig Strickland | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2008-06-20 |
| 1255536702 | Vicki Marie Connell | Audiologist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2007-06-15 |
| 1083759849 | Roger Covey | Physical Therapist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2007-02-20 |
| 1528153392 | Richard F. Blanchard | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2006-10-04 |
| 1982683678 | Mihaela Soran | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2006-01-11 |
| 1417943598 | Mark W. Smith | Optometrist | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-09-23 |
| 1881680973 | Robert E. Thacker | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113510 | Got Smile, Inc | Durable Medical Equipment & Medical Supplies | 180 4th Ave Ne, St Petersburg, FL 33701-3445 | 2020-10-26 |
| 1609419795 | Milford Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 360 Central Ave Ste 848, St Petersburg, FL 33701-3857 | 2019-10-22 |
| 1376010165 | Cheryl Lynn Bush | Durable Medical Equipment & Medical Supplies | 5817 17th Ave N, St Petersburg, FL 33710-5633 | 2018-10-30 |
| 1831692565 | Full Circle Medical, LLC | Durable Medical Equipment & Medical Supplies | 10460 Roosevelt Blvd N Ste 275, St Petersburg, FL 33716-3821 | 2018-03-08 |
| 1689109886 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 620 10th St N Ste 101, St Petersburg, FL 33705-1407 | 2017-04-25 |
| 1407305212 | Accord Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 3698 54th Ave N, St Petersburg, FL 33714-2347 | 2016-09-22 |
| 1861888398 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 625 6th Ave S Unit 130, St Petersburg, FL 33701-4662 | 2015-04-10 |
| 1639591316 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 7491 4th St N, St Petersburg, FL 33702-5407 | 2014-01-14 |
| 1770905465 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 2139 34th St N, St Petersburg, FL 33713-3609 | 2014-01-14 |
| 1164770145 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 1725 34th St N, St Petersburg, FL 33713-3601 | 2012-08-22 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
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| 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.