JESSICA WHEELEY MCCARRY (NPI# 1124497334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124497334 |
| Entity Type | Individual |
| Full Name | JESSICA WHEELEY MCCARRY |
| Credential | PA-C |
| Practice Address |
1515 22nd Ave N St Petersburg FL 33704-3113 |
| Mailing Address |
502 S Fremont Ave Apt 818 Tampa FL 33606-2068 |
| Practice Telephone | 7278951515 |
| Mailing Telephone | 7274109830 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9109022 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9109022 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1515 22ND AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33704-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568435832 | Antonio J Gayoso | Plastic Surgery | 1515 22nd Ave N, St Petersburg, FL 33704-3113 | 2006-02-08 |
| 1134364235 | Ajg Aesthetics P L C | Plastic Surgery | 1515 22nd Ave N, St Petersburg, FL 33704-3113 | 2008-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1972150738 | Alexander Medical Group LLC | Non-Pharmacy Dispensing Site | 2438 Dr. M L King Jr Street N, St. Petersburg, FL 33704 | 2019-08-26 |
| 1720634595 | Taylor Collins | Physical Medicine & Rehabilitation | 2600 Dr. Jlk Jr St N Unity 2008, Stpetersburg, FL 33704 | 2019-08-16 |
| 1417302142 | Carrie Beth Zilbauer | Physical Therapist | 750 24th Ave N, Saint Petersburg, FL 33704 | 2016-05-02 |
| 1710225982 | Jessica Willoughby | Midwife | 1405 Dr Mlk Jr St N, Saint Petersburg, FL 33704 | 2013-01-23 |
| 1649515354 | Surgcenter Northeast LLC | Clinic/Center | 2438 Dr. Martin Luther King Jr Street North Suite C, St Petersburg, FL 33704 | 2012-12-06 |
| 1700144235 | St. Pete Chiropractic and Injury Center LLC | Chiropractor | 2206 4th Street North, St. Petersburg, FL 33704 | 2012-05-03 |
| 1437421963 | Kenneth R. Reinhart D.c. Pa | Chiropractor | 3190 Mlk Street N., St. Petersburg, FL 33704 | 2012-01-30 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| Find all providers in zip 33704 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168052 | Carlee Freed | Physician Assistant | 2191 9th Ave N Ste 270, St Petersburg, FL 33713-7149 | 2019-05-05 |
| 1558633602 | Jennifer Michelle Boyd | Physician Assistant | 636 16th Ave Ne, St Petersburg, FL 33704-4719 | 2012-02-06 |
| 1457511685 | Sheila Faye Zimmardi | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2008-06-11 |
| 1215987029 | Claudia B Botero | Physician Assistant | 239 2nd Ave S, Suite 200, St Petersburg, FL 33701-4333 | 2006-05-11 |
| 1700875960 | Angela Bowersock | Physician Assistant | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2005-10-19 |
| 1962499723 | Jennifer Mary Broderick | Physician Assistant | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2005-10-05 |
| 1174177927 | Us Medical Solutions, LLC | Physician Assistant | 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 | 2019-07-30 |
| 1184282907 | Mark Daicoff | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-06-05 |
| 1760045272 | Savannah Kelly Poor | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2019-04-19 |
| 1588138499 | Chandler Melton | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2019-01-14 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33704 |
Please comment or provide details below to improve the information on JESSICA WHEELEY MCCARRY.
| 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.