Fifth Avenue Pediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FIFTH AVENUE PEDIATRICS, PA

Practice address

2855 5TH Ave N
St Petersburg, FL 33713-6701

Phone

(727) 323-2727

Fax

(727) 327-8101

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

Pamela M Patranella, MDNPI 1568444909

Title

President

Phone

(727) 323-2727

Specialties & licenses 1

Addresses

Other identifiers 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 11

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

• Pamela M Patranella, MD

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1568444909
  NPD (past) Authorized official
• Joanna Theophilopoulos Bennett, MD

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1902501323
  NPD (past)
• Kelli A Cross, MD

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1811979461
  NPD (past)
• Heather M Dereus, MD

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1639812522
  NPD (past)
• Emily Hays, MD

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1609453158
  NPD (past)
• Julie D Johnson, MD

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1023090461
  NPD (past)
• Lyssa Edmunds Logue, DO, MPH

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1215197538
  NPD (past)
• Joyce Elizabeth Slyder, APRN, FNP

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1891844007
  NPD (past)
• Sally M Smith

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1851373153
  NPD (past)
• Ann R Winkler, MD

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1992787337
  NPD (past)
• Jessica Reilly, M.D.

  • Pediatric Gastroenterology Physician
  • Atlanta, GA
  • NPI 1639602006

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1255312666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136701",
            "telephone_number": "727-323-2727",
            "fax_number": "727-327-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136701",
            "telephone_number": "727-323-2727",
            "fax_number": "727-327-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH AVENUE PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "PATRANELLA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-323-2727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054446900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haneen S Fetyan, MD
• Jessica Fevrier, LMFT
• Fi-Bay Pointe, LLC (Bay Pointe Nursing Pavilion)
• Fi-the Abbey, LLC (The Abbey Rehabilitation and Nursing Center)
• Janet Fiamingo, ARNP
• Melissa Figley, MSW
• Debra P. Figueroa, M.D.
• Patricia Mary Figura-Delia, APRN AGP NP-C
• Brenda Fikry, MS,RD,LD,EP-C
• Driss Fikry, PHYSICIAN ASSISTANT

• Pediatrics Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.