ALISTAR J MACNEIL (NPI# 1366559171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366559171 |
| Entity Type | Individual |
| Full Name | ALISTAR J MACNEIL |
| Credential | MD |
| Practice Address |
201 14th St Sw Largo FL 33770-3133 |
| Mailing Address |
18167 Us Highway 19 N Ste 285 Clearwater FL 33764-6590 |
| Practice Telephone | 7275885222 |
| Practice Fax Number | 7275885458 |
| Mailing Telephone | 7275073609 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME96459 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
201 14TH ST SW |
| City | LARGO |
| State | FL |
| Zip Code | 33770-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441451 | Anthony Ottaviani | Internal Medicine | 201 14th St Sw, Largo, FL 33770-3133 | 2005-10-21 |
| 1598373235 | Michelle Carter | Pharmacist | 201 14th St Sw, Largo, FL 33770-3133 | 2020-07-20 |
| 1740898840 | Karen Kritsky Do Pllc | Surgery | 201 14th St Sw, Largo, FL 33770-3133 | 2020-07-15 |
| 1023639101 | Sandra Neeld | Nurse Practitioner | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-30 |
| 1992334544 | Rohini Singh | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-06 |
| 1174152532 | Parth Sanjeev Patel | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-06 |
| 1255960183 | Jenny Susan Mathew | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-03 |
| 1295363331 | Hamza Saqib Khan | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-01 |
| 1558999698 | Sara Emmalyn P. Andrews | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-01 |
| 1316575863 | Zain Abidi | Student in an Organized Health Care Education/Training Program | 201 14th St Sw, Largo, FL 33770-3133 | 2020-03-31 |
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| 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 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| 1134140775 | John David Young | Emergency Medicine | 7241 Bryan Dairy Rd, Largo, FL 33777-1538 | 2006-07-21 |
| 1588601751 | Tracie Jean Leonhardt | Emergency Medicine | 1120 Belcher Rd S, Suite 2, Largo, FL 33771-3315 | 2006-05-31 |
| 1013963974 | George Kamajian | Emergency Medicine | 10500 Ulmerton Rd, #360, Largo, FL 33771-3544 | 2006-05-25 |
| 1831149848 | Florida Em-i Medical Services Pa | Emergency Medicine | 201 14th Street Sw, Largo, FL 33779 | 2006-05-11 |
| 1740283589 | William Williams | Emergency Medicine | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2005-05-24 |
| 1437552809 | Bay Area Emergency Physicians Urgent Care LLC | Emergency Medicine | 13670 Walsingham Rd, Largo, FL 33774-3532 | 2014-09-30 |
| 1952640013 | Bay Area Emergency Physicians LLC | Emergency Medicine | 8839 Bryan Dairy Rd, Largo, FL 33777-1203 | 2013-02-11 |
| 1629206206 | Christy A Peck | Emergency Medicine | 201 14th St Sw, Largo, FL 33770-3133 | 2009-06-23 |
| 1861626327 | Nadia Abrahamsen | Emergency Medicine | 201 14th St Sw, Emergency Department, Largo, FL 33770-3133 | 2009-05-12 |
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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.