MANJULA S MANGIPUDY (NPI# 1053408492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053408492 |
| Entity Type | Individual |
| Full Name | MANJULA S MANGIPUDY |
| Credential | MD |
| Practice Address |
205 Dr Martin Luther King Jr St N Suite 419 St Petersburg FL 33701-3109 |
| Mailing Address |
700 S Harbour Island Blvd Unit 819 Tampa FL 33602-5712 |
| Practice Telephone | 7278204231 |
| Practice Fax Number | 7278204231 |
| Mailing Telephone | 8134729505 |
| Mailing Fax Number | 8134729505 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
ME038891 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 058380400 | 05 |
| Street Address |
205 DR MARTIN LUTHER KING JR ST N SUITE 419 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558390989 | Christopher Loren Beach | Dentist | 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 | 2006-06-30 |
| 1972919611 | Teresa Gerard | Case Management | 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 | 2014-07-02 |
| 1245655976 | Jaquelinne Nova | Case Manager/Care Coordinator | 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 | 2014-03-05 |
| 1013347517 | Katrina Welch | Case Manager/Care Coordinator | 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 | 2013-11-19 |
| 1609119205 | Alicia Cosma Gilbert | Nurse Practitioner | 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 | 2013-04-02 |
| 1417298761 | Florida Doh | Clinic/Center | 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 | 2013-03-12 |
| 1245594241 | Sugandha Purohit | Obstetrics & Gynecology | 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 | 2012-06-25 |
| 1881868107 | Ann L Clark-whitlock | Nurse Practitioner | 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 | 2008-04-17 |
| 1205030426 | Ronalda Futtrell-hobson | Nurse Practitioner | 205 Dr Martin Luther King Jr St N, Assistant Director's Office 2-176, St Petersburg, FL 33701-3109 | 2007-06-12 |
| 1043421423 | Pinellas County Health Department | Nurse Practitioner | 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932408648 | Liliam Hernandez Md Pa | Family Medicine | 15380 Sw 57th Ter, Miami, FL 33193-2515 | 2011-03-21 |
| 1164609210 | Lee Brown | Family Medicine | 3840 Coconut Creek Parkway, Coconut Creek, FL 33066 | 2008-01-30 |
| 1720117690 | Parmanand Vijay Poonai | Family Medicine | 103 Sunset Cir, Port St Joe, FL 32456-2115 | 2007-03-05 |
| 1114032109 | Carl F Dennison | Family Medicine | 3035 E Commercial Blvd, Ft Lauderdale, FL 33308-4347 | 2006-08-20 |
| 1508970989 | Rita Garulli Chidiac | Family Medicine | 2100 Ne 36th St, Suite 101, Lighthouse Point, FL 33064-7574 | 2006-08-19 |
| 1871524181 | Deborah Anne Weyer | Family Medicine | 1658 St Vincent's Way, Suite 320, Middleburg, FL 32068-8459 | 2006-07-05 |
| 1164472627 | Harold Silberman | Family Medicine | 370 Minorca Ave, 2nd Floor, Primecare of Coral Gables, Coral Gables, FL 33134 | 2006-05-12 |
| 1144212135 | Orlon Vere Carr IIi | Family Medicine | 210 Jupiter Lakes Blvd Ste 5103, Jupiter, FL 33458-7192 | 2005-08-17 |
| 1063028850 | Carline Grand-pierre | Family Medicine | 3155 Lake Worth Rd Ste 2, Palm Springs, FL 33461-6917 | 2020-09-17 |
| 1912462771 | Parabrahma Pa | Family Medicine | 6100 Greenland Rd Ste 301, Jacksonville, FL 32258-2626 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on MANJULA S MANGIPUDY.
| 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.