Dermatology Partners of Saint Petersburg, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME63128 Issued in FL

Legal business name

DERMATOLOGY PARTNERS OF SAINT PETERSBURG, LLC

Practice address

501 MLK Jr St S
St Petersburg, FL 33705-1814

Phone

(727) 821-3600

Fax

(727) 821-3611

NPI assigned

Jun 23, 2009

Last updated

Jun 23, 2009By 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

Margaret Kelleher, M.D.NPI 1841240462

Title

Administrator

Phone

(727) 821-3600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Margaret Ann Kelleher, M.D.

  • Dermatology Physician
  • St Petersburg, FL
  • NPI 1841240462
  Authorized official Same address or phone

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1619105145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MLK JR ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051814",
            "telephone_number": "727-821-3600",
            "fax_number": "727-821-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MLK JR ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051814",
            "telephone_number": "727-821-3600",
            "fax_number": "727-821-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY PARTNERS OF SAINT PETERSBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-821-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME63128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Rebecca Depompei, DC
• Erin M Deprizio
• Alexa Leigh Derby
• Leslie Derepentigny
• Heather M Dereus, MD
• Derrick D Cox M D PLLC (Surgical Oncology Specialists)
• Daniel Maxwell Derussy, DDS
• Chetan K Desai, MD
• Poorvi Desai, M.D.
• Pratibha Kirit Desai, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.