ST PETERSBURG GASTROENTEROLOGY ASSOCIATES LLC (NPI# 1255717641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255717641 |
| Entity Type | Organization |
| Organization Name | ST PETERSBURG GASTROENTEROLOGY ASSOCIATES LLC |
| Practice Address |
1839 Central Ave St Petersburg FL 33713-8900 |
| Mailing Address |
2763 1st Ave N St Petersburg FL 33713-8723 |
| Practice Telephone | 7278201040 |
| Practice Fax Number | 7278228081 |
| Mailing Telephone | 7278201039 |
| Mailing Fax Number | 7278228081 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-10-12 |
| Authorized Official Name | MR. ELIE AYYUB (SOLE MBR) |
| Authorized Official Telephone | 7273221054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
OS10833 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1839 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857089 | Jeffrey Allan Gelber | Internal Medicine | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2005-08-09 |
| 1447878129 | Ericka Hering Spottke | Registered Nurse | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2020-07-09 |
| 1629695002 | Olta Plunkett | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2020-07-01 |
| 1780219998 | Kathleen Kay Davis | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2020-03-08 |
| 1336773662 | Rebecca Anderson | Pharmacist | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2020-02-25 |
| 1144868753 | Cory M Burns | Family Medicine | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2019-12-13 |
| 1154968337 | Charles M Solla | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2019-12-05 |
| 1346895000 | Vicki Cross | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2019-08-08 |
| 1679137863 | Alisha L Grimmage | Nurse Practitioner | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2019-04-24 |
| 1619434354 | Ereny Sawirs | Pharmacist | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2019-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275821191 | Kavitha Tipirneni Waggoner | Internal Medicine | 500 Trinity Ln N, Apt 8201, St Petersburg, FL 33716-1215 | 2011-07-12 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1588621908 | Robert H Wharton Jr. | Internal Medicine | 4855 1st Ave N, St Petersburg, FL 33713-8107 | 2006-04-28 |
| 1962467910 | Joseph Alfred Boulay Jr. | Internal Medicine | 6198 52nd St S, St Petersburg, FL 33715-2405 | 2006-04-20 |
| 1831150408 | Ernst Bontemps | Internal Medicine | 7017 Central Ave, St Petersburg, FL 33710 | 2006-03-31 |
| 1295058550 | Joseph A Boulay Jr Md Pa | Internal Medicine | 6198 52nd St S, St Petersburg, FL 33715-2405 | 2010-03-01 |
| 1346371085 | Abhitabh Patil | Internal Medicine | 3901 66th St N, Suite 201, St Petersburg, FL 33709-4949 | 2007-03-07 |
| 1619900248 | Center for Digestive Diseases Pa | Internal Medicine | 1609 Pasadena Ave S, Ste 3m, St Petersburg, FL 33707-4563 | 2006-07-08 |
| 1780640714 | Kakuturu Lakshminarasa Reddy | Internal Medicine | 5767 49th St N, Ste A, St Petersburg, FL 33709-2107 | 2006-04-26 |
| 1609831502 | Jayaprakash K Kamath | Internal Medicine | 5767 49th St N, Suite A, St Petersburg, FL 33709-2106 | 2006-04-20 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on ST PETERSBURG GASTROENTEROLOGY ASSOCIATES LLC.
| 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.