INSTITUTE OF HEALTH RECOVERY PA (NPI# 1750815155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750815155 |
Entity Type | Organization |
Organization Name | INSTITUTE OF HEALTH RECOVERY PA |
Practice Address |
3177 4th St N St Petersburg FL 33704-2124 |
Practice Telephone | 2157914562 |
Mailing Telephone | 2157914562 |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |
Authorized Official Name | AWAIS SIDDIKI (CEO) |
Authorized Official Telephone | 2157914562 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | ME118372 | FL | Allopathic & Osteopathic Physicians |
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD176723 | OR | Allopathic & Osteopathic Physicians |
Street Address |
3177 4TH ST N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33704-2124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770743890 | Awais Siddiki | Family Medicine | 3177 4th St N, St Petersburg, FL 33704-2124 | 2008-06-12 |
1396298576 | Clear Path Counseling | Community/Behavioral Health | 3177 4th St N, St Petersburg, FL 33704-2124 | 2016-07-25 |
1932598349 | Clear Path Center Pa | Family Medicine | 3177 4th St N, St Petersburg, FL 33704-2124 | 2015-01-22 |
1841595816 | Dawne Era | Social Worker | 3177 4th St N, St Petersburg, FL 33704-2124 | 2011-01-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
1972150738 | Alexander Medical Group LLC | Non-Pharmacy Dispensing Site | 2438 Dr. M L King Jr Street N, St. Petersburg, FL 33704 | 2019-08-26 |
1720634595 | Taylor Collins | Physical Medicine & Rehabilitation | 2600 Dr. Jlk Jr St N Unity 2008, Stpetersburg, FL 33704 | 2019-08-16 |
1417302142 | Carrie Beth Zilbauer | Physical Therapist | 750 24th Ave N, Saint Petersburg, FL 33704 | 2016-05-02 |
1710225982 | Jessica Willoughby | Midwife | 1405 Dr Mlk Jr St N, Saint Petersburg, FL 33704 | 2013-01-23 |
1649515354 | Surgcenter Northeast LLC | Clinic/Center | 2438 Dr. Martin Luther King Jr Street North Suite C, St Petersburg, FL 33704 | 2012-12-06 |
1700144235 | St. Pete Chiropractic and Injury Center LLC | Chiropractor | 2206 4th Street North, St. Petersburg, FL 33704 | 2012-05-03 |
1437421963 | Kenneth R. Reinhart D.c. Pa | Chiropractor | 3190 Mlk Street N., St. Petersburg, FL 33704 | 2012-01-30 |
1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
Find all providers in zip 33704 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164836797 | Pinellas Health & Wellness, LLC | Family Medicine | 222 2nd St N, St Petersburg, FL 33701-3314 | 2014-06-11 |
1306111737 | Norval Mason Marr Jr. | Family Medicine | 501 Coffee Pot Riviera Ne, St Petersburg, FL 33704-3617 | 2012-03-19 |
1205036555 | K Jean Joviak Md Pa | Family Medicine | 860 S Village Dr N, 105, St Petersburg, FL 33716-3024 | 2007-07-24 |
1932298411 | Margaret Teresa Nusca | Family Medicine | 690 4th Ave S, St Petersburg, FL 33701 | 2006-10-12 |
1851344485 | John E Kern | Family Medicine | 5838 9th Ave N, St Petersburg, FL 33710-6319 | 2006-05-17 |
1811498652 | Tampa Bay Hospitalists LLC | Family Medicine | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2018-02-27 |
1932598349 | Clear Path Center Pa | Family Medicine | 3177 4th St N, St Petersburg, FL 33704-2124 | 2015-01-22 |
1427394303 | Capital Medical Group, LLC | Family Medicine | 5985 49th St N, St Petersburg, FL 33709-2111 | 2012-12-20 |
1821396151 | Robert Jennings Wallace | Family Medicine | 3000 1st Ave N, St Petersburg, FL 33713-8607 | 2011-03-10 |
1003116625 | John E Kern Do Pa | Family Medicine | 5838 9th Ave N, St Petersburg, FL 33710-6319 | 2010-10-29 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33704 |
Please comment or provide details below to improve the information on INSTITUTE OF HEALTH RECOVERY PA.
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.