MATTHEW CONYERS (NPI# 1992926422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992926422 |
| Entity Type | Individual |
| Full Name | MATTHEW CONYERS |
| Credential | PA, ATC |
| Practice Address |
5798 38th Ave N St Petersburg FL 33710-1926 |
| Mailing Address |
14690 Spring Hill Dr Ste 305 Spring Hill FL 34609-8102 |
| Practice Telephone | 7273840192 |
| Practice Fax Number | 7273841500 |
| Mailing Telephone | 3522775348 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363A00000X | Physician Assistant | 9110494 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5798 38TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-1926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730730896 | Ashti Devi Khargu | Nurse Practitioner | 5798 38th Ave N, St Petersburg, FL 33710-1926 | 2019-09-20 |
| 1548706096 | Mary Elizabeth Dahlstein | Nurse Practitioner | 5798 38th Ave N, St Petersburg, FL 33710-1926 | 2017-01-09 |
| 1487034427 | Brian Rosa | Physician Assistant | 5798 38th Ave N, St Petersburg, FL 33710-1926 | 2015-06-04 |
| 1710380878 | Erin Luikart Forrey | Nurse Practitioner | 5798 38th Ave N, St Petersburg, FL 33710-1926 | 2014-10-03 |
| 1295160646 | Craig Spergel | Internal Medicine | 5798 38th Ave N, St Petersburg, FL 33710-1926 | 2013-09-04 |
| 1447579172 | Rebecca Lynn Laughlin | Registered Nurse | 5798 38th Ave N, St Petersburg, FL 33710-1926 | 2010-05-20 |
| 1891940540 | Hajar Kadivar | Family Medicine | 5798 38th Ave N, St Petersburg, FL 33710-1926 | 2008-11-21 |
| 1164632717 | Rafael Velasquez | Family Medicine | 5798 38th Ave N, St Petersburg, FL 33710-1926 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| 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 | 33710 |
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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.