ANGELA BOWERSOCK (NPI# 1700875960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700875960 |
| Entity Type | Individual |
| Full Name | ANGELA BOWERSOCK |
| Credential | PA-C |
| Practice Address |
601 7th St S Ste 205 St Petersburg FL 33701-4708 |
| Practice Telephone | 7278936234 |
| Practice Fax Number | 7278936111 |
| Mailing Telephone | 7278936234 |
| Mailing Fax Number | 7278936111 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9108656 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014874000 | 05 |
| Street Address |
601 7TH ST S STE 205 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304308 | Rebecca Marie Simpson | Physician Assistant | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2014-03-21 |
| 1760610752 | Daniel Masvidal | Internal Medicine | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2009-06-29 |
| 1184858003 | Ravikiran Korabathina | Internal Medicine | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2009-05-06 |
| 1922293190 | Angela Mcclanahan Turner | Internal Medicine | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2007-09-11 |
| 1821203167 | George Eric Blanco | Internal Medicine | 601 7th St S Ste 205, St Petersburg, FL 33701-4748 | 2007-05-11 |
| 1316078835 | Sotiris C Stamou | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2007-03-08 |
| 1659384576 | Michael A Malone | Internal Medicine | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2006-08-14 |
| 1972565638 | Laura Akers | Nurse Practitioner | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2006-04-06 |
| 1164484051 | Gregg T Schuyler | Internal Medicine | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2006-04-05 |
| 1336101211 | Andrew D. Rosenthal | Internal Medicine | 601 7th St S Ste 205, St Petersburg, FL 33701-4708 | 2006-04-05 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168052 | Carlee Freed | Physician Assistant | 2191 9th Ave N Ste 270, St Petersburg, FL 33713-7149 | 2019-05-05 |
| 1558633602 | Jennifer Michelle Boyd | Physician Assistant | 636 16th Ave Ne, St Petersburg, FL 33704-4719 | 2012-02-06 |
| 1457511685 | Sheila Faye Zimmardi | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2008-06-11 |
| 1215987029 | Claudia B Botero | Physician Assistant | 239 2nd Ave S, Suite 200, St Petersburg, FL 33701-4333 | 2006-05-11 |
| 1962499723 | Jennifer Mary Broderick | Physician Assistant | 960 7th Ave N, St Petersburg, FL 33705-1347 | 2005-10-05 |
| 1174177927 | Us Medical Solutions, LLC | Physician Assistant | 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 | 2019-07-30 |
| 1184282907 | Mark Daicoff | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-06-05 |
| 1760045272 | Savannah Kelly Poor | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2019-04-19 |
| 1588138499 | Chandler Melton | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2019-01-14 |
| 1699240549 | Hilary Margaret Kupstas | Physician Assistant | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2018-10-08 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on ANGELA BOWERSOCK.
| 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.