J. Paonessa M.D. P.a.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

J. PAONESSA M.D. P.A.

Practice address

100 Highland Ave N
Largo, FL 33770-2542

Phone

(727) 683-2900

Fax

(727) 683-2901

NPI assigned

Jan 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Ciarrocchi

Title

Cfo

Phone

(727) 824-4601

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GULFCOAST ONCOLOGY ASSOCIATES Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1043457666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "SUITE 505",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051455",
            "telephone_number": "727-821-0017",
            "fax_number": "727-502-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND AVE N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702542",
            "telephone_number": "727-683-2900",
            "fax_number": "727-683-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. PAONESSA M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "CIARROCCHI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-824-4601"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376230100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULFCOAST ONCOLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Largo, FL
• Providers in Largo, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.