Panther Emergency Physicians

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PANTHER EMERGENCY PHYSICIANS

Practice address

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790

Phone

(727) 942-5002

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Provasnik

Title

Supervisor of Provider Enrollment

Phone

(800) 355-0808

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1386842870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8126",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191018126",
            "telephone_number": "800-355-0808",
            "fax_number": "215-834-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893790",
            "telephone_number": "727-942-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHER EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PROVASNIK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SUPERVISOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "800-355-0808"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "38658",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG9999",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Page, LCSW
• Kari Lynn Pagenhardt, AP
• Geneva Palaidis, ARNP
• Palms Anesthesia PA
• Nicholas Emmanuel Pantelis, DO
• Eleni D Papanou, BCBA
• Aubrie L Pappas, PHARMD
• Eleni Paris, LMFT
• Dominique Paschal, APRN
• Steven Lee Pashegoba, PA-C

• Emergency Medicine Physician in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.