PINELLAS SURGERY CENTER, LLC (NPI# 1003870825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003870825 |
| Entity Type | Organization |
| Organization Name | PINELLAS SURGERY CENTER, LLC |
| Other Organization Name | CENTER FOR SPECIAL SURGERY |
| Practice Address |
4650 4th St N St Petersburg FL 33703-3802 |
| Practice Telephone | 7275271919 |
| Practice Fax Number | 7275270714 |
| Mailing Telephone | 7275271919 |
| Mailing Fax Number | 7275270714 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | SHANNON BRANGERS (ADMINISTRATOR) |
| Authorized Official Telephone | 7275271919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
878 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 079205500 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Special Surgery | Doing Business As Name - Organization |
| Street Address |
4650 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356750038 | Phillip Acevedo | Physical Medicine & Rehabilitation | 4650 4th St N, St Petersburg, FL 33703-3802 | 2014-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649515354 | Surgcenter Northeast LLC | Clinic/Center | 2438 Dr. Martin Luther King Jr Street North Suite C, St Petersburg, FL 33704 | 2012-12-06 |
| 1376748228 | Florida Specialty Surgery Center LLC | Clinic/Center | 6345 54th Ave N, St Petersburg, FL 33709-1703 | 2007-06-20 |
| 1144382284 | Pasadena Surgery Center LLC | Clinic/Center | 6945 First Ave So, St Petersburg, FL 33707-1210 | 2006-12-14 |
| 1942259130 | St Anthonys Physicians Surgery Center LLC | Clinic/Center | 705 16th St N, St Petersburg, FL 33705-1334 | 2006-05-08 |
| 1851356984 | St Petersburg Surgery Center Ltd | Clinic/Center | 539 Pasadena Ave S, St Petersburg, FL 33707-2125 | 2006-04-20 |
| 1669461752 | Bay Area Partners | Clinic/Center | 6002 49th St N, St Petersburg, FL 33709-2114 | 2005-10-20 |
| 1366935074 | Skyway Surgery Center, LLC | Clinic/Center | 625 6th Ave S, St Petersburg, FL 33701-4662 | 2018-06-08 |
| 1568994689 | St Petersburg Ambulatory Surgery Center LLC | Clinic/Center | 6133 Central Ave, St Petersburg, FL 33710-8529 | 2017-03-29 |
| 1336514181 | A Womans Point of View Surgery Center LLC | Clinic/Center | 3275 66th St N, Ste 7, St Petersburg, FL 33710-1569 | 2015-12-04 |
| 1770969198 | Vip Surgery Center-st Petersburg LLC | Clinic/Center | 5000 Park St N, Suite 1105, St Petersburg, FL 33709-2221 | 2015-08-07 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on PINELLAS SURGERY CENTER, LLC.
| 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.