MALLORY ANNE VENTSAM


Address: 511 66th St N, St Petersburg, FL 33710-6939
Phone: 7274988544

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 511 66TH ST N
City ST PETERSBURG
State FL
Zip Code 33710-6939

Providers in the same location

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

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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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City ST PETERSBURG
Zip Code 33710

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Dataset Information

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.

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