EVENING PEDIATRICS, INC (NPI# 1891833554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891833554 |
| Entity Type | Organization |
| Organization Name | EVENING PEDIATRICS, INC |
| Practice Address |
4040 49th St N St Petersburg FL 33709-5734 |
| Mailing Address |
2115 Central Ave St Petersburg FL 33713-8815 |
| Practice Telephone | 7275266483 |
| Practice Fax Number | 7275264346 |
| Mailing Telephone | 7275269135 |
| Mailing Fax Number | 7275264346 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | MR. MICHAEL CIBRAN (PRESIDENT) |
| Authorized Official Telephone | 7275266483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 277728200 | 05 |
| Street Address |
4040 49TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-5734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699845321 | Jessica Baldwin | Nurse Practitioner | 4040 49th St N, St Petersburg, FL 33709-5734 | 2006-11-09 |
| 1073954665 | Nicole M Love | Nurse Practitioner | 4040 49th St N, St Petersburg, FL 33709-5734 | 2013-07-11 |
| 1346581840 | Rhonda C Hartley | Nurse Practitioner | 4040 49th St N, St Petersburg, FL 33709-5734 | 2013-03-07 |
| 1114152154 | Tina Louise Van Doren | Nurse Practitioner | 4040 49th St N, St Petersburg, FL 33709-5734 | 2009-05-20 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104209758 | Jan S Bender Md, Pllc | Pediatrics | 6449 38th Ave N Ste G4, St Petersburg, FL 33710-1643 | 2015-07-01 |
| 1679821219 | Valerie Ann Cruz Flores | Pediatrics | 501 6th Ave S Ste 3100, St Petersburg, FL 33701-4634 | 2012-08-29 |
| 1932419074 | Elinor Miranda | Pediatrics | 3551 42nd Ave S, Ste 101, St Petersburg, FL 33711-4369 | 2010-10-07 |
| 1245465186 | Rhiannon Hickok | Pediatrics | 601 5th St S Ste 501, St Petersburg, FL 33701-4804 | 2009-05-21 |
| 1346495181 | Jorge Santiago Vidal | Pediatrics | 2096 Iowa Ave Ne, St Petersburg, FL 33703-3428 | 2008-11-20 |
| 1881854693 | Thien Trang Thi Tran | Pediatrics | 2701 54th Ave S, St Petersburg, FL 33712-4776 | 2008-06-15 |
| 1396919510 | Susan Darlyne Dibs | Pediatrics | 501 6th Ave S Dept, St Petersburg, FL 33701-4634 | 2008-04-18 |
| 1316152713 | Stephen G. Nelson, M.d., Pa | Pediatrics | 5601 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1205 | 2007-05-11 |
| 1649482001 | Boyd J Mullholand | Pediatrics | 2243 Mermaid Pt Ne, St Petersburg, FL 33703-3441 | 2007-05-05 |
| 1720101397 | Elizabeth Marie Brennan | Pediatrics | 601 5th St S Dept 6941, St Petersburg, FL 33701 | 2007-04-09 |
| 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.