BRYCE SHEDLOCK (NPI# 1003118282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003118282 |
| Entity Type | Individual |
| Full Name | BRYCE SHEDLOCK |
| Credential | DO |
| Practice Address |
6500 38th Ave N St Petersburg FL 33710-1629 |
| Practice Telephone | 7273414870 |
| Mailing Telephone | 7273414870 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS12335 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
6500 38TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750330874 | Maritime Er Svcs Partnership LLC | Emergency Medicine | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2006-05-08 |
| 1841829504 | Jonas Cohen | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-05 |
| 1700415411 | Saksham Varshney | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-04 |
| 1134758824 | Mark Azmy | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-04 |
| 1669001525 | Benjamin David Heflin | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-03 |
| 1386273472 | Michael Ray Epps Jr. | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-02 |
| 1013546001 | Michael Fox | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-02 |
| 1225667280 | Aalok Shah | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-02 |
| 1861020950 | Humdoon Choudhry | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-01 |
| 1588292692 | Matthew David Nichols | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-01 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437511458 | Byron Markel | Emergency Medicine | 6500 38th Ave N Ste 308, St Petersburg, FL 33710-1629 | 2016-03-28 |
| 1447671466 | Kenneth Kreye | Emergency Medicine | 12075 34th St N, St Petersburg, FL 33716-1845 | 2013-12-17 |
| 1629402433 | Andrea Apple | Emergency Medicine | 6400 29th Ave N, St Petersburg, FL 33710-3225 | 2013-08-28 |
| 1811258643 | Lawrence Mendiola | Emergency Medicine | 500 Dr Martin Luther King St N Ste 303, St Petersburg, FL 33705-1470 | 2012-06-07 |
| 1316030406 | Kenneth I Steinberg | Emergency Medicine | 603 7th St S Ste 360, St Petersburg, FL 33701-4732 | 2006-10-02 |
| 1851313589 | Lynea M. Kelly | Emergency Medicine | 2626 9th Ave N, St Petersburg, FL 33713-6803 | 2006-07-24 |
| 1700823846 | Shital-hiten Jitendra Upadhyay | Emergency Medicine | 640 Tyrone Blvd N, St Petersburg, FL 33710-7126 | 2006-05-31 |
| 1750330874 | Maritime Er Svcs Partnership LLC | Emergency Medicine | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2006-05-08 |
| 1285639898 | Nicholas W Price | Emergency Medicine | 603-7th St So, #500, St Petersburg, FL 33701-4734 | 2005-06-20 |
| 1922001742 | Robert V Mcjennett | Emergency Medicine | 1200 7th Ave N, St Petersburg, FL 33705-1300 | 2005-05-24 |
| 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.