OHI WEST MEDICAL GROUP, LLC (NPI# 1558977926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558977926 |
| Entity Type | Organization |
| Organization Name | OHI WEST MEDICAL GROUP, LLC |
| Practice Address |
603 7th St S Ste 350 St Petersburg FL 33701-4732 |
| Mailing Address |
3090 Caruso Ct Ste 50 Orlando FL 32806-8510 |
| Practice Telephone | 7275537474 |
| Practice Fax Number | 7275537472 |
| Mailing Telephone | 4074817174 |
| Mailing Fax Number | 3218436080 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | MICHELE NAPIER (VP, REVENUE MANAGEMENT & CRO) |
| Authorized Official Telephone | 3218413492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bayfront Health St. Petersburg Medical Group Wellness Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240192 | Ohi West Medical Group, LLC | Physiological Laboratory | 2201 Central Ave Ste 100, St Petersburg, FL 33713-8844 | 2020-09-17 |
| 1619583184 | Ohi West Medical Group, LLC | Clinic/Center | 7000 4th St N, Saint Petersburg, FL 33702-5903 | 2020-09-21 |
| 1518572551 | Ohi West Medical Group, LLC | Family Medicine | 701 6th St S, St Petersburg, FL 33701-4814 | 2020-09-15 |
| Street Address |
603 7TH ST S STE 350 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054803 | Waters Edge Medical Clinic Tampa LLC | Clinic/Center | 100 2nd Ave S Ste 7055, St Petersburg, FL 33701-4360 | 2020-05-16 |
| 1851878094 | Nurse Practitioners of Pinellas, LLC. | Clinic/Center | 3551 42nd Avenue South Suite B107, St Petersburg, FL 33711-4369 | 2018-07-20 |
| 1831580612 | Love The Golden Rule Inc | Clinic/Center | 721 Dr Martin Luther King Jr St S, St Petersburg, FL 33705-1922 | 2015-02-14 |
| 1912056540 | Lynne M. Ellis, Md,pa | Clinic/Center | 1111 7th Ave N Ste 103, St Petersburg, FL 33705-1348 | 2007-01-10 |
| 1245791235 | A Rejuvenated Healthcare LLC | Clinic/Center | 3641 Tyrone Blvd N Ste 3, St Petersburg, FL 33710-1150 | 2019-03-31 |
| 1396229605 | Primacare Emc, Inc. | Clinic/Center | 3236 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1202 | 2018-09-21 |
| 1194177857 | Nilam D Shah P A | Clinic/Center | 5750 5th Ave N, St Petersburg, FL 33710-7104 | 2016-07-06 |
| 1962842963 | Bayfront Hma Wellness Center, LLC | Clinic/Center | 603 7th St S, Suite 350, St Petersburg, FL 33701-4719 | 2013-07-05 |
| 1861754590 | Keith Brady, M.d., P.a | Clinic/Center | 1201 5th Ave N, Suite 412, St Petersburg, FL 33705-1400 | 2012-06-08 |
| 1194086124 | Alan Smith M.d. LLC | Clinic/Center | 1769 66th St N, St Petersburg, FL 33710-5537 | 2012-06-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on OHI WEST MEDICAL GROUP, 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.