Provider Type Icon

KENDRA DENISE DEANGELIS M.D. NPI 1043506595


NPI Information

NPI: 1043506595
Provider Name: KENDRA DENISE DEANGELIS, M.D.
Classification: Ophthalmology - 207WX0200X
Entity Type: Individual

Specialization: Ophthalmic Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
2963 GULF TO BAY BLVD STE 267
CLEARWATER, FL
ZIP 33759
Phone: (787) 285-8006
Get Directions

Kendra Denise Deangelis, M.D. is an ophthalmic plastic and reconstructive surgery ophthalmology in Clearwater, FL with 13 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. Kendra Denise Deangelis, M.D. NPI is 1043506595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2011

The provider's business location address is:

2963 GULF TO BAY BLVD STE 267
CLEARWATER, FL
ZIP 33759-209
Phone: (787) 285-8006
Fax: (727) 216-6560

The NPI 1043506595 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2011 and was last updated on 8/27/2020.


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
1207W00000XOphthalmologyME136932FLORIDANo
2207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryME136932FLORIDAYes

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
113809966OTHERFLORIDACAQH

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.