KRISTEL IANTHA SANJUAN (NPI# 1851578256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851578256 |
| Entity Type | Individual |
| Full Name | KRISTEL IANTHA SANJUAN |
| Credential | MD |
| Practice Address |
111 Second Ave Ne 1500 Jsa Healthcare St Petersburg FL 33701 |
| Practice Telephone | 7278282370 |
| Practice Fax Number | 7275686011 |
| Mailing Telephone | 7278282370 |
| Mailing Fax Number | 7275686011 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2009-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME105153 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 002462 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
111 SECOND AVE NE 1500 JSA HEALTHCARE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| 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 | 33701 |
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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.