ANGELA BOWERSOCK


Address: 601 7th St S Ste 205, St Petersburg, FL 33701-4708
Phone: 7278936234

ANGELA BOWERSOCK (NPI# 1700875960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700875960
Entity Type Individual
Full Name ANGELA BOWERSOCK
Credential PA-C
Practice Address 601 7th St S Ste 205
St Petersburg
FL 33701-4708
Practice Telephone 7278936234
Practice Fax Number 7278936111
Mailing Telephone 7278936234
Mailing Fax Number 7278936111
Enumeration Date 2005-10-19
Last Update Date 2020-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9108656 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 014874000 05

Office Location

Street Address 601 7TH ST S STE 205
City ST PETERSBURG
State FL
Zip Code 33701-4708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710304308 Rebecca Marie Simpson Physician Assistant 601 7th St S Ste 205, St Petersburg, FL 33701-4708 2014-03-21
1760610752 Daniel Masvidal Internal Medicine 601 7th St S Ste 205, St Petersburg, FL 33701-4708 2009-06-29
1184858003 Ravikiran Korabathina Internal Medicine 601 7th St S Ste 205, St Petersburg, FL 33701-4708 2009-05-06
1922293190 Angela Mcclanahan Turner Internal Medicine 601 7th St S Ste 205, St Petersburg, FL 33701-4708 2007-09-11
1821203167 George Eric Blanco Internal Medicine 601 7th St S Ste 205, St Petersburg, FL 33701-4748 2007-05-11
1316078835 Sotiris C Stamou Thoracic Surgery (Cardiothoracic Vascular Surgery) 601 7th St S Ste 205, St Petersburg, FL 33701-4708 2007-03-08
1659384576 Michael A Malone Internal Medicine 601 7th St S Ste 205, St Petersburg, FL 33701-4708 2006-08-14
1972565638 Laura Akers Nurse Practitioner 601 7th St S Ste 205, St Petersburg, FL 33701-4708 2006-04-06
1164484051 Gregg T Schuyler Internal Medicine 601 7th St S Ste 205, St Petersburg, FL 33701-4708 2006-04-05
1336101211 Andrew D. Rosenthal Internal Medicine 601 7th St S Ste 205, St Petersburg, FL 33701-4708 2006-04-05
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972168052 Carlee Freed Physician Assistant 2191 9th Ave N Ste 270, St Petersburg, FL 33713-7149 2019-05-05
1558633602 Jennifer Michelle Boyd Physician Assistant 636 16th Ave Ne, St Petersburg, FL 33704-4719 2012-02-06
1457511685 Sheila Faye Zimmardi Physician Assistant 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 2008-06-11
1215987029 Claudia B Botero Physician Assistant 239 2nd Ave S, Suite 200, St Petersburg, FL 33701-4333 2006-05-11
1962499723 Jennifer Mary Broderick Physician Assistant 960 7th Ave N, St Petersburg, FL 33705-1347 2005-10-05
1174177927 Us Medical Solutions, LLC Physician Assistant 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 2019-07-30
1184282907 Mark Daicoff Physician Assistant 4600 4th St N, St Petersburg, FL 33703-3802 2019-06-05
1760045272 Savannah Kelly Poor Physician Assistant 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 2019-04-19
1588138499 Chandler Melton Physician Assistant 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 2019-01-14
1699240549 Hilary Margaret Kupstas Physician Assistant 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 2018-10-08
Find all providers in ST PETERSBURG

Competitor

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City ST PETERSBURG
Zip Code 33701

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Dataset Information

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.

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