Kyle G Luecke (NPI# 1063754729, PAC ID# 5092060343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1063754729 |
| PAC ID by PECOS | 5092060343 |
| Professional Enrollment ID | I20190823000650 |
| Full Name | Kyle G Luecke |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF ST. PETERSBURG PA |
| Address |
1200 7th Ave N St Petersburg FL 33705-1300 |
| Phone Number | 7278251100 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2365413242 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100067 | ST ANTHONY'S HOSPITAL |
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 Carillon Pkwy, Saint Petersburg, FL 33716-1115 | 7275612340 | ST ANTHONYS PROFESSIONAL BUILDINGS AND SERVICES INC |
| 1200 7th Ave N, St Petersburg, FL 33705-1300 | 7278251100 | RADIOLOGY ASSOCIATES OF ST. PETERSBURG PA |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF ST. PETERSBURG PA |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luby A Sidoff | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 114 S Angell St, Apt 4, Providence, RI 02906-5326 |
| Matthew J Rahaim | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Patrick Redmond | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Adam M Garrott | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Glenn Call | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Steven D Schirm | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| John Bertozzi | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Claudia C Bundschu | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Stephen J Kennedy | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Kevin W Marcum | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Street Address |
1200 7TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip | 33705-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene A Murphy | General Surgery | Baycare Medical Group, Inc. | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Matthew J Rahaim | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Paul M Hudson | Certified Registered Nurse Anesthetist (crna) | Greater Florida Anesthesiologists LLC | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 |
| Donald William Simmler Ii | Hospice/palliative Care | Baycare Medical Group, Inc. | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Eric J Nazareth | Anesthesiology | Greater Florida Anesthesiologists LLC | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 |
| Patrick Redmond | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Jennifer K. Hiecke | Physician Assistant | Baycare Medical Group, Inc. | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Troy L Ploger | Anesthesiology | Greater Florida Anesthesiologists LLC | 1200 7th Ave N, Saint Petersburg, FL 33705-1300 |
| Jason C Levine | Interventional Cardiology | Baycare Medical Group, Inc. | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Adam M Garrott | Diagnostic Radiology | Radiology Associates of St. Petersburg Pa | 1200 7th Ave N, St Petersburg, FL 33705-1300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bond Thomas | Chiropractic | Bond W Thomas Dc Pa | 1210 16th St N, St Petersburg, FL 33705-1033 |
| Carla Thomas | Physical Therapy | Bond W Thomas Dc Pa | 1210 16th St N, St Petersburg, FL 33705-1033 |
| Scott C Strader | Psychologist, Clinical | 926 16th St N, St. Petersburg, FL 33705-1121 | |
| Cynthia J Mcneave | Nurse Practitioner | Tampa Bay Surgical Group LLP | 995 16th St N, St Petersburg, FL 33705-1210 |
| Khalilah Weston | Interventional Pain Management | 995 16th St N, Khalilah Weston Md, St Petersburg, FL 33705-1210 | |
| Mindi D Giglio | General Surgery | Tampa Bay Surgical Group LLP | 995 16th St N, St Petersburg, FL 33705-1210 |
| Larry R Williams | Vascular Surgery | Tampa Bay Surgical Group LLP | 995 16th St N, St Petersburg, FL 33705-1210 |
| Kathleen J Oshrine | Nurse Practitioner | Pediatrix Medical Group of Florida Inc | 840 Dr Martin Luther King Jr St N, Suite 100, St Petersburg, FL 33705-1214 |
| Daniel E Mckenna | Cardiovascular Disease (cardiology) | Pediatrix Medical Group of Florida Inc | 840 Dr Martin Luther King Jr St N, Suite 100, St Petersburg, FL 33705-1214 |
| Stephanie A Kurtz | Cardiovascular Disease (cardiology) | Pediatrix Medical Group of Florida Inc | 840 Dr Martin Luther King Jr St N, Suite 100, St Petersburg, FL 33705-1214 |
| Find all physicians in zip 33705 | |||
| City | ST PETERSBURG |
| Zip Code | 33705 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ST PETERSBURG + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.