PINELLAS MEDICAL ASSOCIATES PA NPI 1285765040

NPI Information

NPI: 1285765040
Provider Name: PINELLAS MEDICAL ASSOCIATES, PA
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
:
CLIA Number: 10D2190052
Address: 5880 49TH ST N STE 104
ST PETERSBURG, FL
ZIP 33709
Phone: (727) 528-6100

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NPI Details

PINELLAS MEDICAL ASSOCIATES, PA is an orthopaedic surgery in St Petersburg, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PINELLAS MEDICAL ASSOCIATES, PA NPI is 1285765040. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

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 10/31/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA910479	FLORIDA	No
2	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	OS9206	FLORIDA	No
3	207X00000X	Orthopaedic Surgery				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	269660600	MEDICAID	FLORIDA
2	019534200	MEDICAID	FLORIDA
3	269694100	MEDICAID	FLORIDA
4	064484600	MEDICAID	FLORIDA

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: 11/21/2025

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