KAY MARIE SHAWCHUCK (NPI# 1669474805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669474805 |
Entity Type | Individual |
Full Name | KAY MARIE SHAWCHUCK |
Other Name | KAY MARIE ABDULLAH |
Credential | M.D. |
Practice Address |
6450 38th Ave N Ste 440 St Petersburg FL 33710-1653 |
Mailing Address |
Po Box 25317 Tampa FL 33622-5317 |
Practice Telephone | 7275512033 |
Practice Fax Number | 2786414477 |
Mailing Telephone | 8132860033 |
Mailing Fax Number | 8132821806 |
Enumeration Date | 2005-06-01 |
Last Update Date | 2018-09-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | ME119762 | FL | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 40854 | MN | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 6639 | ND | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 013635800 | 05 | |
MN | 67431880 | 05 | |
ND | BLUE SHIELD | ABD19054 | 01 |
ND | 17670 | 05 | |
MN | BLUE SHIELD | 03T04AB | 01 |
Street Address |
6450 38TH AVE N STE 440 |
City | ST PETERSBURG |
State | FL |
Zip Code | 33710-1653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
Find all providers in zip 33710 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275650467 | Levine Surgical Associates Pa | Surgery | 4957 38th Ave North, Suite C, St Petersburg, FL 33710 | 2007-03-23 |
1144252727 | Jeffery Lee Johnson | Surgery | 603 7th St So, #500, St Petersburg, FL 33701-4734 | 2006-07-06 |
1689600462 | Steven G Epstein | Surgery | 603 - 7th St So, #500, St Petersburg, FL 33701-4734 | 2006-06-24 |
1811958903 | Thawatchai Suksanong | Surgery | 1752 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-4206 | 2006-03-29 |
1851387906 | James A. Westervelt | Surgery | 601 7th St S Ste 495, St Petersburg, FL 33701-4746 | 2005-09-23 |
1033744818 | St. Petersburg Surgical Specialist | Surgery | 601 7th St S Ste 495, St Petersburg, FL 33701-4746 | 2020-03-11 |
1184987463 | Ramona Nicoleta Ilie | Surgery | 4801 49th St N, St Petersburg, FL 33709-3859 | 2012-06-21 |
1700179850 | Katherine Wright Gonzalez | Surgery | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2011-05-24 |
1811205990 | Ralph A. Dematteis Md Pl | Surgery | 2191 9th Ave N, Suite 240, St Petersburg, FL 33713-7146 | 2010-09-22 |
1710212998 | Mindi D. Giglio | Surgery | 995 16th St N, St Petersburg, FL 33705-1210 | 2009-10-06 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33710 |
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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.