Pasadena Center for Asthma & Lung Disorders LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME 100366 Issued in FL

Legal business name

PASADENA CENTER FOR ASTHMA & LUNG DISORDERS LLC

Practice address

5454 Central Ave Ste a
Saint Petersburg, FL 33707-6129

Phone

(727) 347-5242

Fax

(727) 347-2402

NPI assigned

Dec 16, 2008

Last updated

Mar 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed Ibrahim Ali Eltoum, MDNPI 1598794026

Title

Owner/MD

Phone

(727) 347-5242

Specialties & licenses 1

Addresses

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 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed Ibrahim Ali Eltoum, M.D.

  • Pulmonary Disease Physician
  • St Petersburg, FL
  • NPI 1598794026
  Medicare reassignment NPD Authorized official
• Tram Bao DO, APRN, DNP

  • Acute Care Nurse Practitioner
  • Gainesville, FL
  • NPI 1598442816
  Medicare reassignment NPD
• Jack Ibrahim Haj Obeid, M. D.

  • Critical Care Medicine (Anesthesiology) Physician
  • Tampa, FL
  • NPI 1104808054

  Pulmonary Disease

  Medicare reassignment NPD
• Andrew Hayslett, D.O.

  • Internal Medicine Physician
  • Largo, FL
  • NPI 1669705083
  Medicare reassignment NPD
• Rana Kanaan, MD

  • Pulmonary Disease Physician
  • Lakeland, FL
  • NPI 1841564275
  Medicare reassignment NPD
• Rachael L Staton, APRN

  • Nurse Practitioner
  • Largo, FL
  • NPI 1497371173
  Medicare reassignment NPD
• Lydia Valladares Wallace, D.O.

  • Family Medicine Physician
  • Inverness, FL
  • NPI 1215139381
  Medicare reassignment NPD
• Shannalee Senior, APRN, AGNP-C

  • Adult Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1073141529

  FL

  Medicare reassignment NPD
• Laine Woodard, PA-C

  • Physician Assistant
  • Southfield, MI
  • NPI 1962455055

  FL

  Medicare reassignment NPD
• Katelyn Peworchik, ARNP

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1912489519
  Medicare reassignment
• Deborah R Johnson-Eady, APRN

  • Acute Care Nurse Practitioner
  • St Petersburg, FL
  • NPI 1053184143

  Multi-Specialty

  NPD
• Bridget M Nakielski, ARNP

  • Critical Care Medicine Nurse Practitioner
  • Tampa, FL
  • NPI 1730514969

  Single Specialty

  NPD

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1396981635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 CENTRAL AVE STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337076129",
            "telephone_number": "727-347-5242",
            "fax_number": "727-347-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 CENTRAL AVE STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337076129",
            "telephone_number": "727-347-5242",
            "fax_number": "727-347-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA CENTER FOR ASTHMA & LUNG DISORDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2024-03-19",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "ALI ELTOUM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "727-347-5242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 100366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medlyne Revert Parrish, APRN
• Leyla Parsa, PMHNP
• Ashley Lauren Parson, LCSW
• Linda Parsons, PHARMD
• Reshma Parwani, M.S., C.C.C.
• Pasadena ENT PA
• Pasadena Eye Center, LLC
• Pasadena Eye Center, LLC
• Pasadena Family Chiropractic Center Inc.
• Pasadena Family Medical Associates

• Pulmonary Disease Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.