KAY MARIE SHAWCHUCK


Address: 6450 38th Ave N Ste 440, St Petersburg, FL 33710-1653
Phone: 7275512033

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 013635800 05
MN 67431880 05
ND BLUE SHIELD ABD19054 01
ND 17670 05
MN BLUE SHIELD 03T04AB 01

Office Location

Street Address 6450 38TH AVE N STE 440
City ST PETERSBURG
State FL
Zip Code 33710-1653

Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ST PETERSBURG
Zip Code 33710

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Dataset Information

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.

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