Anthony Baldizzi, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0067000 Issued in FL

Practice address

3901 66TH St N
Suite 102
St Petersburg, FL 33709-4949

Phone

(727) 623-9100

Fax

(727) 623-9103

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2016 through Oct 1, 2026

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bayfront Enterprises Inc

  • Urgent Care Clinic/Center
  • St Petersburg, FL
  • NPI 1710963236
  NPD (past)
• Florida Institute of Family Medicine, PA

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1639285141
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379808000000",
    "number": "1679545149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 66TH ST N",
            "address_2": "SUITE 102",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094949",
            "telephone_number": "727-623-9100",
            "fax_number": "727-623-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 66TH ST N",
            "address_2": "SUITE 102",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094949",
            "telephone_number": "727-623-9100",
            "fax_number": "727-623-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDIZZI",
        "first_name": "ANTHONY",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0067000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balance Center of St Petersburg
• Balance Centers of St Petersburg
• Balanced Grove Wellness Center, LLC
• Balanced Minds Psychology & Wellness, LLLP
• Alexandra Jozefa Balcom, APRN
• David Brian Baldwin
• Dillon Matthew Bale, DMD
• Abigail J Ball, MAT, LAT, ATC
• David Robert Ball, DO, MPH
• Lisa Davis Ball, D.O.

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.