ADVANCED MEDICAL THERAPY INSTITUTE, INC. (NPI# 1538199435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538199435 |
| Entity Type | Organization |
| Organization Name | ADVANCED MEDICAL THERAPY INSTITUTE, INC. |
| Practice Address |
6776 54th Ave N Suite B St Petersburg FL 33709-1405 |
| Practice Telephone | 7273979118 |
| Practice Fax Number | 7273979440 |
| Mailing Telephone | 7273979118 |
| Mailing Fax Number | 7273979440 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | JOE DISTEFANO (OWNER) |
| Authorized Official Telephone | 7273979118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
6776 54TH AVE N SUITE B |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760446363 | George Roger Dunkelberger | Family Medicine | 6776 54th Ave N, Suite B, St Petersburg, FL 33709-1405 | 2006-04-12 |
| 1487297859 | Devon Lorette Sarvary | Nurse Practitioner | 6776 54th Ave N, St Petersburg, FL 33709-1405 | 2019-10-17 |
| 1609222405 | Diagnostic Clinic Medical Group, Inc. | Family Medicine | 6776 54th Ave N, Suite B, St Petersburg, FL 33709-1405 | 2016-05-11 |
| 1346639887 | Molly Gerken Ruane | Nurse Practitioner | 6776 54th Ave N, St Petersburg, FL 33709-1405 | 2015-01-21 |
| 1124425947 | Diagnostic Clinic Medical Group Inc. | Family Medicine | 6776 54th Ave N, Suite A, St Petersburg, FL 33709-1405 | 2014-11-21 |
| 1750680807 | Lisa M Disanto Do Pa | Family Medicine | 6776 54th Ave N, Suite A, St Petersburg, FL 33709-1405 | 2011-03-15 |
| 1831412774 | Ann Marie Mcmanus | Physician Assistant | 6776 54th Ave N, St Petersburg, FL 33709 | 2010-03-07 |
| 1205168846 | New Beginnings Medical Clinic, Inc. | Health Maintenance Organization | 6776 54th Ave N, Suite B, St Petersburg, FL 33709-1405 | 2010-02-08 |
| 1437383841 | The Lio Mission Inc | Health Maintenance Organization | 6776 54th Ave N, Suite C, St Petersburg, FL 33709-1405 | 2009-05-13 |
| 1336173483 | Douglas L Nelson | Family Medicine | 6776 54th Ave N, St Petersburg, FL 33709-1405 | 2006-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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|---|---|---|---|---|
| 1679017339 | Mims Sitter Service, Inc | Exclusive Provider Organization | 2129 Upton Ct S, St Petersburg, FL 33712-3145 | 2016-12-14 |
| 1376724906 | Alternative Medicine Integration of Florida | Exclusive Provider Organization | 735 Arlington Ave N, Suite 206, St Petersburg, FL 33701-3652 | 2007-11-26 |
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| 1871126102 | First Harbour Health Management, LLC | Exclusive Provider Organization | 7320 Delainey Ct, Lakewood Ranch, FL 34240-8445 | 2020-02-14 |
| 1295378271 | Community Health Services, Inc | Exclusive Provider Organization | 15315 Nw 60th Ave Ste E, Miami Lakes, FL 33014-2440 | 2019-10-23 |
| 1447808894 | Doctorology, LLC | Exclusive Provider Organization | 6440 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8003 | 2019-08-29 |
| 1851943591 | Attesor Mso LLC | Exclusive Provider Organization | 3350 Sw 148th Ave Ste 146, Miramar, FL 33027-3257 | 2019-07-12 |
| 1225690563 | Annie Saika Lucien | Exclusive Provider Organization | 2341 Nw 38th Ter, Lauderdale Lakes, FL 33311-2650 | 2019-07-08 |
| 1548728397 | Power Md Mso LLC | Exclusive Provider Organization | 4000 N 37th Ave, Hollywood, FL 33021-1927 | 2019-03-11 |
| 1023575495 | Premiermd Sim, LLC | Exclusive Provider Organization | 3465 Galt Ocean Dr Ste 203, Ft Lauderdale, FL 33308-7077 | 2019-02-21 |
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| City | ST PETERSBURG |
| Zip Code | 33709 |
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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.