MR. IMTIAZ HAROON MEMON (NPI# 1003168824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003168824 |
| Entity Type | Individual |
| Full Name | MR. IMTIAZ HAROON MEMON |
| Credential | PA |
| Practice Address |
6000 49th St N St. Petersburg St Petersburg FL 33709-2114 |
| Mailing Address |
1209 Canyon Oaks Dr Brandon FL 33510-2173 |
| Practice Telephone | 7275215510 |
| Mailing Telephone | 5617983164 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2014-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9106741 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6000 49TH ST N ST. PETERSBURG |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275501058 | Jeffrey Lloyd Alcorn | Physician Assistant | 6000 49th St N, St Petersburg, FL 33709-2114 | 2006-03-09 |
| 1225667926 | Kiyoshi Houston | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-04-04 |
| 1518595016 | Joshua Isaac Wais | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2145 | 2020-03-30 |
| 1477181998 | Dana Marie Jorgenson | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-30 |
| 1790312908 | John Hatch Hughes II | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1598392706 | Richard Allen Gorman II | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1669009866 | Michael Ted Liu | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1679100804 | Cassandra Christine Haggert | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2145 | 2020-03-26 |
| 1144856105 | Kasey Haskins | Registered Nurse | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-20 |
| 1720623499 | Blakely Austin Deboard | Registered Nurse | 6000 49th St N, St Petersburg, FL 33709-2114 | 2019-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969378 | Odalys Caro | Physician Assistant | 6500 20th St N, St Petersburg, FL 33702-7112 | 2020-10-14 |
| 1417587106 | Hannah Newman | Physician Assistant | 1667 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-01-22 |
| 1740752526 | Michelle Ciesla | Physician Assistant | 2640 14th Ave N, St Petersburg, FL 33713-5813 | 2018-12-18 |
| 1205328978 | Alfredo Jose Gotera Avila | Physician Assistant | 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 | 2018-05-30 |
| 1578074043 | Ekta H Patel | Physician Assistant | 125 5th Ave Ne Apt 260, St Petersburg, FL 33701-3038 | 2017-10-23 |
| 1225495526 | Kelly Marie Egan | Physician Assistant | 2736 4th Ave N, St Petersburg, FL 33713-7824 | 2016-01-19 |
| 1992125264 | Casie J Parker | Physician Assistant | 603 7th Street S, Ste 540, St Petersburg, FL 33701 | 2014-04-24 |
| 1407174824 | Gina Mendez | Physician Assistant | 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 | 2010-05-10 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1720211725 | Christina Marie Tomasino | Physician Assistant | 3140 9th Ave N, St Petersburg, FL 33713-6626 | 2009-08-25 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on MR. IMTIAZ HAROON MEMON.
| 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.