ADVANCED BAY AREA MEDICAL ASSOCIATES (NPI# 1700965050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700965050 |
| Entity Type | Organization |
| Organization Name | ADVANCED BAY AREA MEDICAL ASSOCIATES |
| Other Organization Name | JEFFREY R LEVENSON MD PA |
| Practice Address |
1700 66th St N Suite# 510 St Petersburg FL 33710-5544 |
| Practice Telephone | 7273842479 |
| Practice Fax Number | 7273843573 |
| Mailing Telephone | 7273842479 |
| Mailing Fax Number | 7273843573 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | JEFFREY R. LEVENSON (OWNER) |
| Authorized Official Telephone | 7273842479 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0055609 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257401200 | 05 |
| Other Name | Type Code |
|---|---|
| Jeffrey R Levenson MD PA | Former Legal Business Name - Organization |
| Street Address |
1700 66TH ST N SUITE# 510 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740640853 | Milagros Torres | Physical Medicine & Rehabilitation | 1700 66th St N, Suite 205, St Petersburg, FL 33710-5544 | 2016-03-02 |
| 1174657761 | Jonathan Ross Farrar | Physician Assistant | 1700 66th St N, Suite 403, St Petersburg, FL 33710-5544 | 2007-03-15 |
| 1134175086 | Rina M. Diaz | Family Medicine | 1700 66th St N, Suite 403, St Petersburg, FL 33710-5544 | 2006-05-25 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134597826 | Phillip Wood Jr. | Specialist | 5153 68th Ln N, St Petersburg, FL 33709-2865 | 2015-09-11 |
| 1194113340 | Tampa Bay Diabetes, Thyroid, & Endocrinology Center, Pa | Specialist | 5775 5th Ave N, St Petersburg, FL 33710-7103 | 2014-12-22 |
| 1225448467 | Peter Karempelis | Specialist | 601 5th St S Ste 701, St Petersburg, FL 33701-4804 | 2014-04-28 |
| 1932540416 | Mallory Anne Ventsam | Specialist | 511 66th St N, St Petersburg, FL 33710-6939 | 2013-07-11 |
| 1407106552 | Frederick Edward Swartz | Specialist | 5980 80th St N Unit 104, St Petersburg, FL 33709-1003 | 2012-09-17 |
| 1215232319 | Donald B Morris M.d., P.a. | Specialist | 1111 7th Ave N Ste 101, St Petersburg, FL 33705-1348 | 2011-01-20 |
| 1346542966 | Scott Daniel Heikka | Specialist | 2701 18th Ave N, St Petersburg, FL 33713-4935 | 2010-12-02 |
| 1295040541 | Diane Lee Heron | Specialist | 105 5th Ave Ne, St Petersburg, FL 33701-3015 | 2010-08-11 |
| 1417274937 | Freddie L Mcrae Md Pa | Specialist | 603 7th St S Ste 520, St Petersburg, FL 33701-4734 | 2010-04-23 |
| 1538485610 | Beecum & Beecum Md Pa | Specialist | 7000 54th Ave N, St Petersburg, FL 33709-1304 | 2010-04-14 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
Please comment or provide details below to improve the information on ADVANCED BAY AREA MEDICAL ASSOCIATES.
| 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.