DIAGNOSTIC CLINIC MEDICAL GROUP, PA (NPI# 1073517090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073517090 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC CLINIC MEDICAL GROUP, PA |
| Other Organization Name | MEDFIT REHABILITATION AND WELLNESS PROVIDERS OF PINELLAS, INC. |
| Practice Address |
1551 W Bay Dr Rehabilitation Department Largo FL 33770-2209 |
| Mailing Address |
1551 West Bay Drive Attn: Kelly Gregg Largo FL 33770-6805 |
| Practice Telephone | 7275318767 |
| Mailing Telephone | 7275318767 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SARI LISA MISLEWICZ (CONSULTANT) |
| Authorized Official Telephone | 7277448305 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 104100000X | Social Worker | SW7076 | FL | Behavioral Health & Social Service Providers |
| X | 225100000X | Physical Therapist | PT 15206 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| MedFit Rehabilitation and Wellness Providers of Pinellas, Inc. | Former Legal Business Name - Organization |
| Street Address |
1551 W BAY DR REHABILITATION DEPARTMENT |
| City | LARGO |
| State | FL |
| Zip Code | 33770-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437337177 | Victor Lewis Griffin Jr. | Massage Therapist | 1551 W Bay Dr, Largo, FL 33770-2209 | 2008-02-05 |
| 1811190531 | Nancy M Hepp | Registered Nurse | 1551 W Bay Dr, Diagnostic Clinic, Largo, FL 33770-2209 | 2007-06-08 |
| 1811925779 | Yung Ho Han | Anesthesiology | 1551 W Bay Dr, Largo, FL 33770-2209 | 2006-06-29 |
| 1750319141 | Donald S. Moyer | Nurse Anesthetist, Certified Registered | 1551 W Bay Dr, Largo, FL 33770-2209 | 2006-06-28 |
| 1356379630 | Betty A. Llewellyn | Nurse Anesthetist, Certified Registered | 1551 W Bay Dr, Largo, FL 33770-2209 | 2006-06-28 |
| 1740217314 | Andrea M. Hrin | Physician Assistant | 1551 W Bay Dr, Largo, FL 33770-2209 | 2006-06-27 |
| 1699710897 | Shane Angus | Anesthesiologist Assistant | 1551 W Bay Dr, Largo, FL 33770-2209 | 2006-06-19 |
| 1730124348 | Snezana Trajkovic | Internal Medicine | 1551 W Bay Dr, Largo, FL 33770-2209 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403239 | Kimberly Scott | Social Worker | 8550 Ulmerton Rd Ste 145, Largo, FL 33771-5357 | 2019-12-02 |
| 1326680778 | Courtney Howard | Social Worker | 9701 Apollo Dr Ste 101, Largo, MD 20774-4785 | 2019-10-16 |
| 1992279178 | Lauren Garcia | Social Worker | 710 25th St Sw, Largo, FL 33770-2962 | 2019-01-22 |
| 1598281412 | Crystal Chamberlain | Social Worker | 2137 Georgianna St, Largo, FL 33774-1311 | 2017-08-22 |
| 1881048718 | Kelly Mcbaine | Social Worker | 14221 Joel Ct, Largo, FL 33774-5108 | 2016-04-18 |
| 1013361237 | Alicia R Gianfrancesco | Social Worker | 700 Starkey Rd Apt 355, Largo, FL 33771-2334 | 2016-04-14 |
| 1437573391 | Seth Brian Sosslau | Social Worker | 3699 Mission Ct, Largo, FL 33771-5510 | 2014-02-13 |
| 1437380540 | Ann Depoole | Social Worker | 13191 Starkey Rd Ste 14, Largo, FL 33773-1400 | 2009-08-06 |
| 1568626901 | Wendy Lynne Ott | Social Worker | 11351 Ulmerton Rd, Unit 31, Largo, FL 33778-1634 | 2008-07-15 |
| 1356561302 | Marianna L Kritsberg | Social Worker | 6451 126th Ave, Largo, FL 33773-1866 | 2007-05-01 |
| Find all providers in LARGO | ||||
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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.