MS. ANN MARIE MCMANUS (NPI# 1831412774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831412774 |
| Entity Type | Individual |
| Full Name | MS. ANN MARIE MCMANUS |
| Credential | PA |
| Practice Address |
6776 54th Ave N St Petersburg FL 33709 |
| Mailing Address |
6776 54th Ave N St Petersburg FL 33709-1405 |
| Practice Telephone | 7275488500 |
| Practice Fax Number | 7275489800 |
| Mailing Telephone | 7275488500 |
| Mailing Fax Number | 7275489800 |
| Enumeration Date | 2010-03-07 |
| Last Update Date | 2018-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9105351 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 5230941 | 01 |
| FL | FLORIDA BLUE | Y04PQ | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609235779 | Ann Mcmanus I | Occupational Therapy Assistant | 156 Route 303, Valley Cottage, NY 10989-1923 | 2016-02-18 |
| 1023037892 | Ann M Mcmanus | Nurse Anesthetist, Certified Registered | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | 2006-07-19 |
| Street Address |
6776 54TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709 |
| 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 |
| 1750680807 | Lisa M Disanto Do Pa | Family Medicine | 6776 54th Ave N, Suite A, St Petersburg, FL 33709-1405 | 2011-03-15 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969378 | Odalys Caro | Physician Assistant | 6500 20th St N, St Petersburg, FL 33702-7112 | 2020-10-14 |
| 1417587106 | Hannah Newman | Physician Assistant | 1667 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-01-22 |
| 1740752526 | Michelle Ciesla | Physician Assistant | 2640 14th Ave N, St Petersburg, FL 33713-5813 | 2018-12-18 |
| 1205328978 | Alfredo Jose Gotera Avila | Physician Assistant | 871 Ibis Walk Pl N Unit 3204, St Petersburg, FL 33716-3857 | 2018-05-30 |
| 1578074043 | Ekta H Patel | Physician Assistant | 125 5th Ave Ne Apt 260, St Petersburg, FL 33701-3038 | 2017-10-23 |
| 1225495526 | Kelly Marie Egan | Physician Assistant | 2736 4th Ave N, St Petersburg, FL 33713-7824 | 2016-01-19 |
| 1992125264 | Casie J Parker | Physician Assistant | 603 7th Street S, Ste 540, St Petersburg, FL 33701 | 2014-04-24 |
| 1407174824 | Gina Mendez | Physician Assistant | 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 | 2010-05-10 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1720211725 | Christina Marie Tomasino | Physician Assistant | 3140 9th Ave N, St Petersburg, FL 33713-6626 | 2009-08-25 |
| 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.