LISA M DISANTO DO PA (NPI# 1750680807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750680807 |
| Entity Type | Organization |
| Organization Name | LISA M DISANTO DO PA |
| Practice Address |
6776 54th Ave N Suite A St Petersburg FL 33709-1405 |
| Practice Telephone | 7275488500 |
| Practice Fax Number | 7275489800 |
| Mailing Telephone | 7275488500 |
| Mailing Fax Number | 7275489800 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | DR. LISA M DISANTO (PRESIDENT) |
| Authorized Official Telephone | 7275488500 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS5732 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
6776 54TH AVE N SUITE A |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760446363 | George Roger Dunkelberger | Family Medicine | 6776 54th Ave N, Suite B, St Petersburg, FL 33709-1405 | 2006-04-12 |
| 1487297859 | Devon Lorette Sarvary | Nurse Practitioner | 6776 54th Ave N, St Petersburg, FL 33709-1405 | 2019-10-17 |
| 1609222405 | Diagnostic Clinic Medical Group, Inc. | Family Medicine | 6776 54th Ave N, Suite B, St Petersburg, FL 33709-1405 | 2016-05-11 |
| 1346639887 | Molly Gerken Ruane | Nurse Practitioner | 6776 54th Ave N, St Petersburg, FL 33709-1405 | 2015-01-21 |
| 1124425947 | Diagnostic Clinic Medical Group Inc. | Family Medicine | 6776 54th Ave N, Suite A, St Petersburg, FL 33709-1405 | 2014-11-21 |
| 1831412774 | Ann Marie Mcmanus | Physician Assistant | 6776 54th Ave N, St Petersburg, FL 33709 | 2010-03-07 |
| 1205168846 | New Beginnings Medical Clinic, Inc. | Health Maintenance Organization | 6776 54th Ave N, Suite B, St Petersburg, FL 33709-1405 | 2010-02-08 |
| 1437383841 | The Lio Mission Inc | Health Maintenance Organization | 6776 54th Ave N, Suite C, St Petersburg, FL 33709-1405 | 2009-05-13 |
| 1336173483 | Douglas L Nelson | Family Medicine | 6776 54th Ave N, St Petersburg, FL 33709-1405 | 2006-07-11 |
| 1538199435 | Advanced Medical Therapy Institute, Inc. | Exclusive Provider Organization | 6776 54th Ave N, Suite B, St Petersburg, FL 33709-1405 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919951 | Rhc St Pete LLC | Family Medicine | 5999 Central Ave Ste 103, St Petersburg, FL 33710-8535 | 2020-10-13 |
| 1306452875 | Ohi West, Inc | Family Medicine | 700 6th St S Fl 3, St Petersburg, FL 33701-4815 | 2020-09-21 |
| 1609489541 | Binsey C Babu | Family Medicine | 8950 Dr Martin Luther King Jr St N Ste 102, St Petersburg, FL 33702-3001 | 2020-08-29 |
| 1588174585 | Elena Borisenko | Family Medicine | 5778 5th Ave N, St Petersburg, FL 33710-7104 | 2017-10-04 |
| 1336667187 | Amar Talati, Do, LLC | Family Medicine | 2901 1st Ave N Ste 301, St Petersburg, FL 33713-8640 | 2017-08-31 |
| 1265954085 | St. Petersburg Primary Care Associates | Family Medicine | 780 4th Ave S, St Petersburg, FL 33701-4412 | 2017-07-13 |
| 1659818102 | Diligent Care LLC | Family Medicine | 6743 14th Ave N, St Petersburg, FL 33710-5405 | 2017-01-23 |
| 1821476458 | Chantel Tenesia Jacobs | Family Medicine | 7751 9th St N, St Petersburg, FL 33702-1102 | 2015-05-15 |
| 1003228131 | Carolina Vac Nelson | Family Medicine | 7751 9th St N Ste 10, St Petersburg, FL 33702-1102 | 2014-05-23 |
| 1700205069 | Carol Thuy Vy Tran | Family Medicine | 6801 4th St N, St Petersburg, FL 33702 | 2014-04-15 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
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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.