MRS. WENDY MARISOL BANSAL (NPI# 1689851537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689851537 |
| Entity Type | Individual |
| Full Name | MRS. WENDY MARISOL BANSAL |
| Credential | PA-C |
| Practice Address |
2025 Indian Rocks Rd S Largo FL 33774-1035 |
| Mailing Address |
3152 Little Rd #162 Trinity FL 34655-1864 |
| Practice Telephone | 7273459615 |
| Mailing Telephone | 7273459615 |
| Mailing Fax Number | 8773270389 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-9106461 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2010-0045 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
012338 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2025 INDIAN ROCKS RD S |
| City | LARGO |
| State | FL |
| Zip Code | 33774-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283589 | William Williams | Emergency Medicine | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2005-05-24 |
| 1952862492 | Lennox Kai-zoen Din | Student in an Organized Health Care Education/Training Program | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2019-03-27 |
| 1942767009 | Jaclyn Marie Gramazio | Social Worker | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2019-02-25 |
| 1871902791 | Sunbeam Point Emergency Physicians LLC | Physician Assistant | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2014-08-05 |
| 1841555398 | Carolyn Ellis | Dermatology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-11 |
| 1861757320 | Khasha Touloei | Dermatology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-11 |
| 1285999755 | Jonathan Dunn | Anesthesiology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-10 |
| 1518222082 | Richard Limbert | Dermatology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-07-10 |
| 1760740781 | Gulf-to-bay Anesthesiology Associates LLC | Anesthesiology | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2012-04-27 |
| 1407131055 | Largo Radiology Consultants | Clinic/Center | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2011-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700118007 | Statmed Quick Quality of North Pinellas, LLC | Physician Assistant | 1033 W Bay Dr, Largo, FL 33770-3248 | 2010-02-11 |
| 1477643617 | Michael Paul Linkous | Physician Assistant | 13133 66th St, Largo, FL 33773-1812 | 2006-10-16 |
| 1194834291 | Melissa Marie Bruner | Physician Assistant | 1794 Harbor Cir E, Largo, FL 33770-4558 | 2006-08-30 |
| 1144238254 | Jessica M Hann | Physician Assistant | 11200 Seminole Blvd Ste 310, Largo, FL 33778-3239 | 2006-08-04 |
| 1629035993 | Janelle V Dudley | Physician Assistant | 12416 66th St, Largo, FL 33773-3437 | 2006-04-28 |
| 1841539954 | Bang Chau Tran Nguyen | Physician Assistant | 201 14th St Sw, Largo, FL 33770-3133 | 2013-02-08 |
| 1629300835 | Kirsty J Greaves | Physician Assistant | 13670 Walsingham Rd, Largo, FL 33774-3532 | 2010-02-12 |
| 1467579078 | Victoria Ann Kennedy | Physician Assistant | 1345 W Bay Dr, Suite 301, Largo, FL 33770-2282 | 2007-03-26 |
| 1508944646 | Rebecca Blackwelder | Physician Assistant | 1345 W Bay Dr, Suite 101, Largo, FL 33770-2282 | 2006-11-02 |
| 1528146511 | Lindsey M Rice | Physician Assistant | 12416 66th Street N, Suite A, Largo, FL 33773-3437 | 2006-11-01 |
| Find all providers in LARGO | ||||
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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.