Organization Active NPI

J. Paonessa M.D. P.a.

Doing business as Gulfcoast Oncology Associates

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
National Provider Identifier
1477681682
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
J. PAONESSA M.D. P.A.
Doing business as
Gulfcoast Oncology Associates
Practice address
1201 5TH Ave N
Suite 505
St Petersburg, FL 33705-1455
Phone
(727) 821-0017
Fax
(727) 502-8860
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Durable Medical Equipment & Medical Supplies 332B00000X FL Primary

Addresses

Primary practice location

1201 5TH Ave N
Suite 505
St Petersburg, FL 33705-1455

Mailing address

1201 5TH Ave N
Suite 505
St Petersburg, FL 33705-1455
Phone (727) 821-0017

Other identifiers 1

IdentifierTypeStateIssuer
376230100MedicaidFL

Other names 1

  • Gulfcoast Oncology Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1477681682",
    "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": "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. PAONESSA M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-11-01",
        "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": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "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 St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.