DR. IDONGESIT SILAS IDIONG (NPI# 1902909898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902909898 |
| Entity Type | Individual |
| Full Name | DR. IDONGESIT SILAS IDIONG |
| Credential | PHARM.D |
| Practice Address |
10000 Bay Pines Blvd Bay Pines Va Healthcare System Saint Petersburg FL 33744 |
| Mailing Address |
11850 Dr Martin Luther King Jr St N Apt 6206 Saint Petersburg FL 33716-1626 |
| Practice Telephone | 7273986661 |
| Mailing Telephone | 7273744515 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS 39314 | FL | Pharmacy Service Providers |
| Street Address |
10000 BAY PINES BLVD BAY PINES VA HEALTHCARE SYSTEM |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740436260 | Melinda Lee Pierce | Social Worker | 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2008-08-15 |
| 1528135811 | Shawn Britt | Social Worker | 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2006-11-29 |
| 1326154667 | Sandra Seale | Social Worker | 10000 Bay Pines Blvd, Saint Petersburg, FL 33774 | 2006-08-21 |
| 1609989169 | James Riggs | Social Worker | 10000 Bay Pines Blvd, Saint Petersburg, FL 33774 | 2006-08-17 |
| 1306857867 | Lauren Lally | Social Worker | 10000 Bay Pines Blvd, Saint Petersburg, FL 33774 | 2006-08-10 |
| 1922022771 | Kenneth R Quirk | Social Worker | 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2006-07-26 |
| 1215951231 | Todd Holliday | Social Worker | 10000 Bay Pines Blvd, Saint Petersburg, FL 33774 | 2006-07-26 |
| 1306869128 | Mary Jayne Blacklin | Social Worker | 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2006-07-25 |
| 1548282627 | Kelsea Benedict Thayne | Social Worker | 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2006-07-24 |
| 1376565739 | Jodi Sarah Teper | Social Worker | 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267258 | Katlyn Shelley Starr | Social Worker | 10000 Bay Pines Vahca, Bay Pines, FL 33744 | 2020-08-31 |
| 1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
| 1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
| 1427519610 | Channing Anne Sofko | Psychologist | Bay Pines Vahcs, 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2019-03-29 |
| 1255710299 | Lisa Ann Snyder | Social Worker | 10000 Bay Pines Blvd Bldg 102 Room D185, Bay Pines Vahcs (116d), St Petersburg, FL 33744 | 2015-05-22 |
| 1598011272 | Emily G King | Clinical Neuropsychologist | 10,000 Bay Pines Blvd (116b), Bay Pines, FL 33744 | 2012-07-31 |
| 1245494376 | Saifu Daniel | Internal Medicine | 10000 Bay Pine Blvd, Bay Pines Va Hospital, Bay Pines, FL 33744 | 2008-07-17 |
| 1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
| 1831399260 | Rodrique A Rodney | Pharmacist | Bay Pines Va 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2007-07-24 |
| 1831395979 | Jennifer Lynn Thompson | Nurse Practitioner | 10,000 Baypines Blvd, Bldg 101, St. Petersburg, FL 33744 | 2007-06-25 |
| Find all providers in zip 33744 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542972 | Julia Brown | Pharmacist | 3729 S Suncoast Blvd, Homosassa, FL 34448 | 2020-09-10 |
| 1871107771 | Monnette Coppola | Pharmacist | 2907 W Winthrop Rd, Tampa, FL 33611-4040 | 2020-09-08 |
| 1669082194 | Cindy Marie Padilla | Pharmacist | 600 S Dixie Hwy Apt 537, West Palm Beach, FL 33401-5852 | 2020-08-10 |
| 1861017592 | Managed Care Med Solutions, Inc | Pharmacist | 1436 Mendavia Ave, Coral Gables, FL 33146-1608 | 2020-06-09 |
| 1124647995 | Christian Calderon | Pharmacist | 4337 Nw 29th Way, Gainesville, FL 32605-1521 | 2020-04-13 |
| 1174156996 | Gwyneth Gordon | Pharmacist | 9650 Millpond Rd, Miramar, FL 33025-3826 | 2020-02-20 |
| 1285272237 | Thuy Thu Nguyen | Pharmacist | 11334 Nw 79th Mnr, Parkland, FL 33076-4811 | 2019-12-19 |
| 1982242038 | Tammy Kay Domanico | Pharmacist | 1500 N Ocean Blvd Apt 801, Pompano Beach, FL 33062-3438 | 2019-12-18 |
| 1255975660 | David Scott Ziska | Pharmacist | 9234 Brindlewood Drive, Odessa, FL 33556-3154 | 2019-10-30 |
| 1841847993 | Duane David Ashe | Pharmacist | 8848 Hampden Dr, Tampa, FL 33626-2935 | 2019-08-23 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33744 |
Please comment or provide details below to improve the information on DR. IDONGESIT SILAS IDIONG.
| 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.