ST. JOSEPH'S HOSPITAL, INC. (NPI# 1710036868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710036868 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH'S HOSPITAL, INC. |
| Other Organization Name | PINELLAS CARE CLINIC |
| Practice Address |
3050 1st Ave S St Petersburg FL 33712-1010 |
| Mailing Address |
4600 N. Habana Avenue Suite 15 Tampa FL 33614-7123 |
| Practice Telephone | 7273214846 |
| Practice Fax Number | 7273213811 |
| Mailing Telephone | 8138704460 |
| Mailing Fax Number | 8138704459 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | MRS. LYNDA A GORKEN (DIRECTOR) |
| Authorized Official Telephone | 7272819390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 254872100 | 05 |
| Other Name | Type Code |
|---|---|
| PINELLAS CARE CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346519816 | St. Joseph's Hospital, Inc. | General Acute Care Hospital | 3030 W. Dr. Mlk Jr Blvd, Tampa, FL 33607-6307 | 2011-12-29 |
| 1992854038 | St. Joseph's Hospital, Inc. | Clinic/Center | 4600 N. Habana Avenue, Suite 15, Tampa, FL 33614-7123 | 2007-01-09 |
| 1881632818 | St. Joseph's Hospital, Inc. | Psychiatric Unit | 3001 W Dr Mlk Jr Blvd, Tampa, FL 33607-6307 | 2006-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST JOSEPH'S HOSPITAL, INC | 4600 N Habana Ave Ste 15, Tampa, FL 33614-7123 |
| Street Address |
3050 1ST AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164582615 | Linda Diane Renshaw | Nurse Practitioner | 3050 1st Ave S, St Petersburg, FL 33712-1010 | 2006-12-12 |
| 1699166223 | Victoria Jean Small | Counselor | 3050 1st Ave S, St Petersburg, FL 33712-1010 | 2015-02-18 |
| 1790194975 | Empath Health Pharmaceuticals, LLC | Pharmacy | 3050 1st Ave S, Pharmacy Department, St Petersburg, FL 33712-1010 | 2014-08-12 |
| 1982949293 | Ronald James Gabriau | Social Worker | 3050 1st Ave S, St Petersburg, FL 33712-1010 | 2012-11-28 |
| 1760525844 | Gregory C. Kaufman | Counselor | 3050 1st Ave S, St Petersburg, FL 33712-1010 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1265054803 | Waters Edge Medical Clinic Tampa LLC | Clinic/Center | 100 2nd Ave S Ste 7055, St Petersburg, FL 33701-4360 | 2020-05-16 |
| 1851878094 | Nurse Practitioners of Pinellas, LLC. | Clinic/Center | 3551 42nd Avenue South Suite B107, St Petersburg, FL 33711-4369 | 2018-07-20 |
| 1831580612 | Love The Golden Rule Inc | Clinic/Center | 721 Dr Martin Luther King Jr St S, St Petersburg, FL 33705-1922 | 2015-02-14 |
| 1912056540 | Lynne M. Ellis, Md,pa | Clinic/Center | 1111 7th Ave N Ste 103, St Petersburg, FL 33705-1348 | 2007-01-10 |
| 1245791235 | A Rejuvenated Healthcare LLC | Clinic/Center | 3641 Tyrone Blvd N Ste 3, St Petersburg, FL 33710-1150 | 2019-03-31 |
| 1396229605 | Primacare Emc, Inc. | Clinic/Center | 3236 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1202 | 2018-09-21 |
| 1194177857 | Nilam D Shah P A | Clinic/Center | 5750 5th Ave N, St Petersburg, FL 33710-7104 | 2016-07-06 |
| 1962842963 | Bayfront Hma Wellness Center, LLC | Clinic/Center | 603 7th St S, Suite 350, St Petersburg, FL 33701-4719 | 2013-07-05 |
| 1861754590 | Keith Brady, M.d., P.a | Clinic/Center | 1201 5th Ave N, Suite 412, St Petersburg, FL 33705-1400 | 2012-06-08 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
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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.