Active NPI
J. Paonessa M.D. P.a.
Doing business as Gulfcoast Oncology Associates
- Specialist
- Brandon, FL
National Provider Identifier
1245477868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- J. PAONESSA M.D. P.A.
- Doing business as
- Gulfcoast Oncology Associates
- Practice address
- 425 S Parsons Ave
Suite 101
Brandon, FL 33511-5289 - Phone
- (813) 982-3460
- Fax
- (813) 982-3461
- NPI assigned
- Jan 20, 2009
- Last updated
- May 19, 2009
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
425 S Parsons Ave
Suite 101
Brandon, FL 33511-5289
Mailing address
1201 5TH Ave N
Suite 505
St Petersburg, FL 33705-1455
Phone (727) 821-0017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376230100 | Medicaid | FL |
Other names 1
- GULFCOAST ONCOLOGY ASSOCIATES
National Provider Directory
National Provider Directory- Tax ID family
- Gulfcoast Oncology Associates
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Gulfcoast Oncology Associates
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1932393436
Locations
1201 5th Ave N
Ste 505
St Petersburg, FL 33705
Phone (727) 821-0017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242691200000",
"number": "1245477868",
"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": "425 S PARSONS AVE",
"address_2": "SUITE 101",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115289",
"telephone_number": "813-982-3460",
"fax_number": "813-982-3461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. PAONESSA M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-20",
"last_updated": "2009-05-19",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"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"
}
]
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.