J Paonessa MD PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

J PAONESSA MD PA

Practice address

1201 5TH Avenue North
Suite 505
St. Petersburg, FL 33705

Phone

(727) 821-0017

Fax

(727) 895-0328

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Marulyn J Frystak

Title

Coo

Phone

(727) 821-0017

Specialties & licenses 1

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": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1225019649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 5TH AVENUE NORTH",
            "address_2": "SUITE 505",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33705",
            "telephone_number": "727-821-0017",
            "fax_number": "727-502-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH AVENUE NORTH",
            "address_2": "SUITE 505",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33705",
            "telephone_number": "727-821-0017",
            "fax_number": "727-895-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J PAONESSA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "FRYSTAK",
        "authorized_official_first_name": "MARULYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "727-821-0017"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "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"
        }
    ]
}

• Stanley J. Iyadurai, M.D.
• Ananth Krishnan Iyer, MD
• Christopher Stephen Izzo, D.O.
• J Hibbert Enterprises LLC
• J Paonessa M.D., P.a.
• J. Paonessa M.D. P.a.
• J.E.T Cardinal LLC
• Susan Jaamour
• Nicholas Anthony Jabre, MD, MS
• Raymundo Gamboa Jacinto, PA-C

• Hematology & Oncology Physician in St. Petersburg, FL
• Providers in St. Petersburg, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.