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PINELLAS MEDICAL ASSOCIATES PA NPI 1285765040


NPI Information

NPI: 1285765040
Provider Name: PINELLAS MEDICAL ASSOCIATES, PA
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

CLIA Number: 10D2190052

Address:
5880 49TH ST N STE 104
ST PETERSBURG, FL
ZIP 33709
Phone: (727) 528-6100
Get Directions

PINELLAS MEDICAL ASSOCIATES, PA is an orthopaedic surgery of the spine orthopaedic surgery in St Petersburg, FL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. PINELLAS MEDICAL ASSOCIATES, PA NPI is 1285765040. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5880 49TH ST N STE 104
ST PETERSBURG, FL
ZIP 33709-142
Phone: (727) 528-6100
Fax: (727) 528-7895

The provider's authorized official is Lisa A Flaherty .
The authorized official title is Owner and has the following contact phone number (727) 528-6100.

The CLIA number assigned to this NPI record is 10D2190052 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 2/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological SurgeryOS 4884FLORIDANo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineOS9206FLORIDAYes
32084N0400XPsychiatry & NeurologyNeurologyOS9216FLORIDANo
4363AM0700XPhysician AssistantMedicalPA910479FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I09733MEDICARE UPINFLORIDA
2064484600MEDICAIDFLORIDA
3269694100MEDICAIDFLORIDA
443227XMEDICARE PINFLORIDA
5G85263MEDICARE UPINFLORIDA
6AL867YMEDICARE PINFLORIDA
782874AMEDICARE PINFLORIDA
8019534200MEDICAIDFLORIDA
96078850001MEDICARE NSCFLORIDA
10K8068MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
116440380001MEDICARE NSCFLORIDA
1243183YMEDICARE PINFLORIDA
1343227VMEDICARE PINFLORIDA
14IV096ZMEDICARE PINFLORIDA
15269660600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.