Maturity Medical of Pinellas Professional Association

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME62503 Issued in FL

Legal business name

MATURITY MEDICAL OF PINELLAS PROFESSIONAL ASSOCIATION

Practice address

1615 Pasadena Ave S Ste 250
South Pasadena, FL 33707-4517

Phone

(727) 527-6200

Fax

(727) 347-0893

NPI assigned

Jan 13, 2008

Organization subpart

No

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

Authorized official

Name

Oswald A Williams, MDNPI 1760449185

Title

MD

Phone

(727) 527-6200

Specialties & licenses 2

Addresses

Other names 1

• Maturity Medical of Pinellas, P.A. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oswald Anthony Williams, MD

  • Internal Medicine Physician
  • South Pasadena, FL
  • NPI 1760449185
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1063698744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S STE 250",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074517",
            "telephone_number": "727-527-6200",
            "fax_number": "727-527-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PASADENA AVE S STE 250",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074517",
            "telephone_number": "727-527-6200",
            "fax_number": "727-347-0893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6101 Dr MLK Jr St N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337033370",
            "country_code": "US",
            "telephone_number": "727-527-6200",
            "fax_number": "727-527-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATURITY MEDICAL OF PINELLAS PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-13",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "OSWALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "727-527-6200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME62503",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maturity Medical of Pinellas, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Suzanne Mantione, D.M.D.
• Joseph Charles Mantione, D.M.D.
• Zack Raymond Martin, DMD
• Allison Martyniek
• Linda Mason, ARNP
• Shari McCraw, COTA
• Stacy A McDonald, COTA/L
• Timothy Sean McGhee, BCBA
• Carter McKinnon, PTA
• Medline Enterprises Inc

• Internal Medicine Physician in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.