DR. KIRK DOMINIC CIANCIOLO (NPI# 1780933127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780933127 |
| Entity Type | Individual |
| Full Name | DR. KIRK DOMINIC CIANCIOLO |
| Credential | D.O |
| Practice Address |
12464 Indian Rocks Rd Largo FL 33774 |
| Mailing Address |
909 Riviera Dunes Way Palmetto FL 34221-7127 |
| Practice Telephone | 7275965446 |
| Practice Fax Number | 7275930002 |
| Mailing Telephone | 7277982299 |
| Mailing Fax Number | 7275930002 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 03552 | KY | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | OS0004645 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 3972115 | 01 |
| FL | 017137800 | 05 | |
| FL | BCBS | JTNOA | 01 |
| FL | AVMED | 211521 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1717 High St Ste 2a, Hopkinsville, KY 422406300 | 2708865141 |
| Street Address |
12464 INDIAN ROCKS RD |
| City | LARGO |
| State | FL |
| Zip Code | 33774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235160805 | Fitz Tropics Medical Associates Inc | Family Medicine | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2006-07-05 |
| 1356810535 | Galene Victoria Neal | Nurse Practitioner | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2018-11-17 |
| 1316462880 | William Savage | Dietitian, Registered | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2017-08-07 |
| 1710402292 | Bill The Dietitian Pllc | Dietitian, Registered | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2017-08-07 |
| 1780063255 | Fitz Tropics Medical Associates, Inc. | Non-Pharmacy Dispensing Site | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2015-05-29 |
| 1992051809 | Marc Alen Richman | Orthopaedic Surgery | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2012-07-29 |
| 1508050196 | Gerald J Fitzgerald | Family Medicine | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2007-08-28 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235363144 | Said Ismail Hakky | Urology | 8547 Merrimoor Blvd E, Largo, FL 33777-2145 | 2009-05-06 |
| 1821257924 | William Wan Kao | Urology | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2008-06-03 |
| 1033383781 | Mohamed A Atalla | Urology | 1221 Mercantile Ln, Kaiser Permanente Department of Urology, Largo, MD 20774-5374 | 2008-04-14 |
| 1457545477 | Neil S. Kansal | Urology | 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774-5374 | 2007-09-03 |
| 1861531170 | West Shore Urology Assoc | Urology | 13201 Walsingham Rd, Largo, FL 33774-3518 | 2007-02-05 |
| 1255391769 | Paul M Vazquez | Urology | 13201 Walsingham Rd, Largo, FL 33774-3518 | 2006-03-27 |
| 1669441705 | Jeffrey S Lombard | Urology | 2039 Indian Rocks Rd S, Largo, FL 33774-1035 | 2006-03-14 |
| 1154309813 | Madhu Priya P Khanna | Urology | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
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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.