PEGGY A. KULPACA (NPI# 1063467819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063467819 |
| Entity Type | Individual |
| Full Name | PEGGY A. KULPACA |
| Credential | PA-C |
| Practice Address |
4600 4th Street North St Petersburg FL 33703-3802 |
| Practice Telephone | 7275275272 |
| Practice Fax Number | 7275227412 |
| Mailing Telephone | 7275275272 |
| Mailing Fax Number | 7275227412 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA3108 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4600 4TH STREET NORTH |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619954336 | Robert L Swiggett Jr. | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2005-12-22 |
| 1114075983 | See Wai Elsie Lo | Physician Assistant | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2007-01-08 |
| 1871547737 | Stephen Carl Anderson | Radiology | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-05-22 |
| 1194799098 | Paul R. Russo | Registered Nurse | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-15 |
| 1134193667 | Brett R Bolhofner | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
| 1942274485 | George H Canizares | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
| 1922072461 | Jorge A Rodriguez | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
| 1629042163 | William E Lowry | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-13 |
| 1043283948 | Clinton Bertrand Davis II | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-10 |
| 1780657551 | Robert G Hamilton | Orthopaedic Surgery | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-10 |
| Find all providers in the same location | ||||
| 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 | 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 | 33703 |
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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.