CHRISTINE A CREVELLO (NPI# 1740459031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740459031 |
| Entity Type | Individual |
| Full Name | CHRISTINE A CREVELLO |
| Credential | PA-C |
| Practice Address |
148 13th St Sw Largo FL 33770-3127 |
| Mailing Address |
Po Box 2410 Largo FL 33779-2410 |
| Practice Telephone | 7275818706 |
| Practice Fax Number | 7275882447 |
| Mailing Telephone | 7275818706 |
| Mailing Fax Number | 7275882447 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2014-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9104469 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004947000 | 05 |
| Street Address |
148 13TH ST SW |
| City | LARGO |
| State | FL |
| Zip Code | 33770-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112156 | Stacia H Goldey | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2005-05-23 |
| 1679936991 | Kirkland Castellano | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2016-04-04 |
| 1225411622 | Maria L. Adams | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2015-07-02 |
| 1528440856 | Brandon Connor Clair | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2015-06-23 |
| 1902234172 | Vasilios Frank Diakonis | Specialist | 148 13th St Sw, Largo, FL 33770-3127 | 2013-10-24 |
| 1043646672 | Bradley Philip Oneill | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2013-09-14 |
| 1265780555 | Ryan Sacksteder | Optometrist | 148 13th St Sw, Largo, FL 33770-3127 | 2012-08-17 |
| 1063770469 | Siddarth Rathi | Ophthalmology | 148 13th St Sw, Largo, FL 33770 | 2012-04-24 |
| 1366710741 | Eye Physicians of Pinellas, Pa | Clinic/Center | 148 13th St Sw, Largo, FL 33770-3127 | 2011-12-13 |
| 1912213240 | Priti Panchal | Optometrist | 148 13th St Sw, Largo, FL 33770-3127 | 2010-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063908200 | Orthopaedic Specialties of West Florida | Physician Assistant | 561 4th St Sw, Largo, FL 33770-3515 | 2018-07-10 |
| 1679739429 | David Albert Freel | Physician Assistant | 307 Buttonwood Ln, Largo, FL 33770-4058 | 2008-07-31 |
| 1518929207 | Heather Lea Ngo | Physician Assistant | 13201 Walsingham Rd Ste 200, Largo, FL 33774 | 2006-04-06 |
| 1508920026 | Melissa D Koliha | Physician Assistant | 1345 W Bay Dr Ste 301, Largo, FL 33770-2264 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
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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.