GEORGE DEGHEIM (NPI# 1710234158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710234158 |
| Entity Type | Individual |
| Full Name | GEORGE DEGHEIM |
| Credential | M.D |
| Practice Address |
6006 49th St N Ste 200 St Petersburg FL 33709-2149 |
| Practice Telephone | 7274902100 |
| Practice Fax Number | 8552223965 |
| Mailing Telephone | 7274902100 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301101554 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME137338 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 729513 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 330 3rd St S Unit 810, St Petersburg, FL 337014266 | 7274902100 |
| Street Address |
6006 49TH ST N STE 200 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467414383 | John W. Walsh | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2006-04-05 |
| 1174032247 | Heather Tate | Physician Assistant | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2017-09-21 |
| 1174061808 | Josip Katinic | Nurse Practitioner | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2017-02-01 |
| 1609160563 | Marshall Bernard Marcus | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2011-06-07 |
| 1851524953 | Jaime Alexander Caballero | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2009-08-24 |
| 1578729406 | Ali H. Abdul Jabbar | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2008-07-30 |
| 1861428260 | Usama Mukayed | Internal Medicine | 6006 49th St N Ste 200, St Petersburg, FL 33709-2149 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1396015947 | Felix J. Hernandez M.d.,p.a. | Internal Medicine | 4500 Central Ave, St Petersburg, FL 33711-1041 | 2012-01-12 |
| 1750395257 | Charles R Freeble IIi | Internal Medicine | 7111 First Ave S, St Petersburg, FL 23707 | 2006-07-28 |
| 1477531846 | Edward James Swanick | Internal Medicine | 1000 16th St N, St Petersburg, FL 33705-1147 | 2006-01-05 |
| 1861485120 | Marek T Mikulski | Internal Medicine | 5398 Park St N, St Petersburg, FL 33709-1041 | 2005-08-23 |
| 1750842191 | Cfl Care of Fl, LLC | Internal Medicine | 111 2nd Ave Ne Ste 900, St Petersburg, FL 33701-3434 | 2019-03-28 |
| 1235499419 | Jasmine Rose Jacob | Internal Medicine | 620 10th St N, St Petersburg, FL 33705-1407 | 2012-05-22 |
| 1336406628 | Akash Patel | Internal Medicine | 5398 Park St N, St Petersburg, FL 33709 | 2012-04-12 |
| 1003199555 | St. Anthony's Professional Buildings & Services, Inc | Internal Medicine | 5398 Park St N, St Petersburg, FL 33709-1041 | 2011-09-21 |
| 1588942650 | Nicholas A Kotch | Internal Medicine | 6000 49th St N, St Petersburg, FL 33709-2114 | 2011-07-23 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on GEORGE DEGHEIM.
| 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.