LYNNE M. ELLIS, MD,PA (NPI# 1912056540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912056540 |
| Entity Type | Organization |
| Organization Name | LYNNE M. ELLIS, MD,PA |
| Practice Address |
1111 7th Ave N Ste 103 St Petersburg FL 33705-1348 |
| Practice Telephone | 7278225393 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | LYNNE M ELLIS (PRESIDENT) |
| Authorized Official Telephone | 7278225393 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
46897 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 262210600 | 05 |
| Street Address |
1111 7TH AVE N STE 103 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458258 | Wrigley Medical Solutions LLC | Pediatrics | 1111 7th Ave N Ste 103, St Petersburg, FL 33705-1348 | 2019-10-09 |
| 1598180192 | Jennifer Gerstner | Nurse Practitioner | 1111 7th Ave N Ste 103, St Petersburg, FL 33705-1348 | 2014-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| 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 |
| 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 |
| 1194086124 | Alan Smith M.d. LLC | Clinic/Center | 1769 66th St N, St Petersburg, FL 33710-5537 | 2012-06-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on LYNNE M. ELLIS, MD,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.