BANGUS SURGICAL SPECIALISTS LLC (NPI# 1760870034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760870034 |
| Entity Type | Organization |
| Organization Name | BANGUS SURGICAL SPECIALISTS LLC |
| Practice Address |
6000 49th St N St Petersburg FL 33709-2114 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2019-08-11 |
| Authorized Official Name | GREGORY BYRNE (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
6000 49TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275501058 | Jeffrey Lloyd Alcorn | Physician Assistant | 6000 49th St N, St Petersburg, FL 33709-2114 | 2006-03-09 |
| 1225667926 | Kiyoshi Houston | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-04-04 |
| 1518595016 | Joshua Isaac Wais | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2145 | 2020-03-30 |
| 1477181998 | Dana Marie Jorgenson | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-30 |
| 1790312908 | John Hatch Hughes II | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1598392706 | Richard Allen Gorman II | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1669009866 | Michael Ted Liu | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1679100804 | Cassandra Christine Haggert | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2145 | 2020-03-26 |
| 1144856105 | Kasey Haskins | Registered Nurse | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-20 |
| 1720623499 | Blakely Austin Deboard | Registered Nurse | 6000 49th St N, St Petersburg, FL 33709-2114 | 2019-11-16 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| 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 |
| 1669474805 | Kay Marie Shawchuck | Surgery | 6450 38th Ave N Ste 440, St Petersburg, FL 33710-1653 | 2005-06-01 |
| 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 |
| 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.