MR. JAMES ANDREW PETERNELL JR. (NPI# 1477759652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477759652 |
| Entity Type | Individual |
| Full Name | MR. JAMES ANDREW PETERNELL JR. |
| Credential | LMT |
| Practice Address |
470 2nd St N # C-1 Safety Harbor FL 34695-3600 |
| Practice Telephone | 7277723251 |
| Mailing Telephone | 7277723251 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA 47026 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MASSAGE ESTABLISHMENT LIC | MM 19426 | 01 |
| FL | FLORIDA MASSAGE LICENSE # | MA 47026 | 01 |
| Street Address |
470 2ND ST N # C-1 |
| City | SAFETY HARBOR |
| State | FL |
| Zip Code | 34695-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931071 | Joli Beauchamp | Occupational Therapy Assistant | 1410 Dr Martin Luther King Jr St. North, Safety Harbor, FL 34695 | 2018-08-14 |
| 1912494733 | Bryan Singleton | Occupational Therapist | 1410 Dr. M, Dr Martin Luther King Jr Street North, Safety Harbor, FL 34695 | 2018-04-17 |
| 1639673007 | Jessica Rojas | Occupational Therapy Assistant | 1410 Dr. Martin Luther King St N, Safety Harbor, FL 34695 | 2018-03-21 |
| 1326547365 | Heather Anne Ramous | Nurse Practitioner | 1840 Mease Dr Ste 307, Safety Harbor, FL 34695 | 2018-02-05 |
| 1922531730 | Jessica Robin Sternberg | Physical Therapy Assistant | 1410 Dr. Martin Luther King Jr. Street North, Safety Harbor, FL 34695 | 2017-04-07 |
| 1861863102 | Pamela Guida | Physical Therapy Assistant | 1410 Dr M L King Jr St N, Safety Harbor, FL 34695 | 2015-10-13 |
| 1962888792 | Lauren Ramos | Nurse Practitioner | 1840 Mease Dr., Suite 204, Palm Harbor, FL 34695 | 2015-08-04 |
| 1306285010 | Paulas Madhusudan Vyas | Urology | 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 | 2013-06-17 |
| 1871803643 | Bridget Stirling Tyrka | Contractor | 1045 3rd St N, Safety Harbor, FL 34695 | 2010-10-14 |
| 1326211574 | Helen L. Techler | Audiologist | 583 Main Street, Suite A, Safety Harbor, FL 34695 | 2008-04-09 |
| Find all providers in zip 34695 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154743409 | Marsha Rantala | Specialist | 1819 Cypress Trace Dr, Safety Harbor, FL 34695-4520 | 2014-01-06 |
| 1174816490 | Patrice Schroeder | Specialist | 2116 Flamingo Pl, Safety Harbor, FL 34695-4958 | 2011-05-19 |
| 1275700775 | Patricia Johnson-wyman | Specialist | 214 Hillcrest Dr, Safety Harbor, FL 34695-4710 | 2008-05-14 |
| 1144365701 | Parrish Winesett, M.d., P.a. | Specialist | 1840 Mease Dr Ste 319, Safety Harbor, FL 34695-6605 | 2007-02-21 |
| 1477552230 | David Griffiths Berry | Specialist | 1840 Mease Drive, Suite 301, Safety Harbor, FL 34695-6605 | 2005-07-14 |
| 1336687292 | Corrective Therapy Inc. | Specialist | 3135 State Road 580, Suite 11, Safety Harbor, FL 34695-4976 | 2017-02-10 |
| 1619166469 | Arthritis Care Centre, LLC | Specialist | 1840 Mease Dr, # 406, Safety Harbor, FL 34695-6602 | 2007-10-17 |
| 1770770240 | Ezra S Elkayam Md Pa | Specialist | 1840 Mease Dr, Suite 315, Safety Harbor, FL 34695-6602 | 2007-09-28 |
| 1588791099 | J. Paonessa M.d. P.a. | Specialist | 1840 Mease Dr, Suite 309, Safety Harbor, FL 34695-6602 | 2007-02-28 |
| 1801839691 | Surgical Associates of West Fl | Specialist | 1840 Mease Drive, Suite 301, Safety Harbor, FL 34695-6605 | 2006-06-13 |
| Find all providers in SAFETY HARBOR | ||||
| City | SAFETY HARBOR |
| Zip Code | 34695 |
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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.