DR. DEREK ALAN PAWICH


Address: 1401 16th St N, St Petersburg, FL 33704-4123
Phone: 7278940794

DR. DEREK ALAN PAWICH (NPI# 1184076069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184076069
Entity Type Individual
Full Name DR. DEREK ALAN PAWICH
Credential D.P.M.
Practice Address 1401 16th St N
St Petersburg
FL 33704-4123
Practice Telephone 7278940794
Mailing Telephone 7278940794
Enumeration Date 2016-07-05
Last Update Date 2020-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
PO4088 FL Podiatric Medicine & Surgery Service Providers
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
SC006746 PA Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 1401 16TH ST N
City ST PETERSBURG
State FL
Zip Code 33704-4123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881657740 Timothy C Runyon Podiatrist 1401 16th St N, St Petersburg, FL 33704-4123 2006-04-10

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962969998 Eric J Roberts Md Podiatrist 2191 9th Ave N # 150, St Petersburg, FL 33713-7146 2019-02-26
1962630004 Eric Justin Roberts Podiatrist 2191 9th Ave N Ste 150, St Petersburg, FL 33713-7146 2009-06-28
1184757635 Florida Coast Foot & Ankle Pa Podiatrist 1001 37th Street North, Suite F, St Petersburg, FL 33713-6010 2007-03-13
1891806667 Darall J Moore Podiatrist 4200 Central Ave, St Petersburg, FL 33711-1140 2006-08-31
1669483517 Julian Robert Menendez Podiatrist 5415 Park St N, Suite C, St Petersburg, FL 33709-1087 2006-08-10
1609801687 Douglas Brian Moss Podiatrist 7855 38th Ave N Ste 200, St Petersburg, FL 33710-1134 2006-07-11
1013966753 Chris M Powell Podiatrist 5027 Central Ave, St Petersburg, FL 33710-8240 2006-05-09
1053373241 Robin M Katz Podiatrist 6600 34th Ave N, St Petersburg, FL 33710-1515 2006-04-04
1114584125 Moss Restorative Foot & Ankle Center, Pllc Podiatrist 7855 38th Ave N Ste 200, St Petersburg, FL 33710-1134 2019-05-24
1932399458 Katz Medical Associates P A Podiatrist 6600 34th Ave N, St Petersburg, FL 33710-1515 2007-07-31
Find all providers in ST PETERSBURG

Competitor

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City ST PETERSBURG
Zip Code 33704

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Dataset Information

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.

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