MALLORY ANNE VENTSAM (NPI# 1932540416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932540416 |
Entity Type | Individual |
Full Name | MALLORY ANNE VENTSAM |
Practice Address |
511 66th St N St Petersburg FL 33710-6939 |
Mailing Address |
12627 Portmarnock Dr Odessa FL 33556-5416 |
Practice Telephone | 7274988544 |
Mailing Telephone | 8137874317 |
Enumeration Date | 2013-07-11 |
Last Update Date | 2013-07-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
Street Address |
511 66TH ST N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33710-6939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750722278 | Mallory Ventsam Enterprises, LLC | Hearing Aid Equipment | 511 66th St N, St Petersburg, FL 33710-6939 | 2013-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
Find all providers in zip 33710 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134597826 | Phillip Wood Jr. | Specialist | 5153 68th Ln N, St Petersburg, FL 33709-2865 | 2015-09-11 |
1194113340 | Tampa Bay Diabetes, Thyroid, & Endocrinology Center, Pa | Specialist | 5775 5th Ave N, St Petersburg, FL 33710-7103 | 2014-12-22 |
1225448467 | Peter Karempelis | Specialist | 601 5th St S Ste 701, St Petersburg, FL 33701-4804 | 2014-04-28 |
1407106552 | Frederick Edward Swartz | Specialist | 5980 80th St N Unit 104, St Petersburg, FL 33709-1003 | 2012-09-17 |
1215232319 | Donald B Morris M.d., P.a. | Specialist | 1111 7th Ave N Ste 101, St Petersburg, FL 33705-1348 | 2011-01-20 |
1346542966 | Scott Daniel Heikka | Specialist | 2701 18th Ave N, St Petersburg, FL 33713-4935 | 2010-12-02 |
1295040541 | Diane Lee Heron | Specialist | 105 5th Ave Ne, St Petersburg, FL 33701-3015 | 2010-08-11 |
1417274937 | Freddie L Mcrae Md Pa | Specialist | 603 7th St S Ste 520, St Petersburg, FL 33701-4734 | 2010-04-23 |
1538485610 | Beecum & Beecum Md Pa | Specialist | 7000 54th Ave N, St Petersburg, FL 33709-1304 | 2010-04-14 |
1811229883 | Arnold Henry Orlick | Specialist | 7881 9th Ave S, St Petersburg, FL 33707-2730 | 2010-02-02 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33710 |
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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.