DERMATOLOGY PARTNERS OF SAINT PETERSBURG, LLC (NPI# 1619105145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619105145 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY PARTNERS OF SAINT PETERSBURG, LLC |
| Practice Address |
501 Mlk Jr St S St Petersburg FL 33705-1814 |
| Practice Telephone | 7278213600 |
| Practice Fax Number | 7278213611 |
| Mailing Telephone | 7278213600 |
| Mailing Fax Number | 7278213611 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |
| Authorized Official Name | MARGARET KELLEHER (ADMINISTRATOR) |
| Authorized Official Telephone | 7278213600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME63128 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
501 MLK JR ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981338 | Alexandra Coad | Dermatology | 2191 9th Ave N Ste 100, St Petersburg, FL 33713-7147 | 2019-09-19 |
| 1417421066 | Yvonne L Bruner | Dermatology | 4307 71st St N, St Petersburg, FL 33709-4513 | 2019-01-16 |
| 1396126744 | Katarina Rose Kesty | Dermatology | 100 40th Ave N, St Petersburg, FL 33703-6125 | 2015-06-11 |
| 1124215199 | John F Kirk Md, Pa | Dermatology | 4444 Central Ave, St Petersburg, FL 33711-1142 | 2007-10-03 |
| 1316139249 | Elizabeth Arrington | Dermatology | 1530 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-4202 | 2007-08-14 |
| 1063517050 | Wanda M Boote | Dermatology | 2060 5th Ave N, St Petersburg, FL 33713-8012 | 2006-09-14 |
| 1689688830 | Carol Jeanne Sims-robertson | Dermatology | 2100 Dr Martin Luther King Jr St N, Divine Dermatology Pllc, St Petersburg, FL 33704-3264 | 2006-07-27 |
| 1841240462 | Margaret Ann Kelleher | Dermatology | 6110 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1142 | 2006-05-12 |
| 1609840487 | Margaret H Rinker | Dermatology | 6450 38th Ave N Ste 330, St Petersburg, FL 33710-1649 | 2006-02-16 |
| 1235124967 | James C. Mauch | Dermatology | 620 10th St N, St Petersburg, FL 33705-1407 | 2005-09-19 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on DERMATOLOGY PARTNERS OF SAINT PETERSBURG, 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.