Statmed Quick Quality of North Pinellas, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME0083573 Issued in FL

Legal business name

STATMED QUICK QUALITY OF NORTH PINELLAS, LLC

Practice address

1033 W Bay Dr
Largo, FL 33770-3248

Phone

(727) 386-4114

Fax

(727) 386-4115

NPI assigned

Feb 11, 2010

Last updated

Apr 24, 2018By 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

Mark Muller, PA-CNPI 1083641096

Title

President

Phone

(727) 726-1962

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Statmed Quick Quality Clinic at North Pinellas LLC

  • Emergency Medicine Physician
  • Clearwater, FL
  • NPI 1861675654

  O20080515000251

  Same enrollment

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.

• Mark P Muller, PA

  • Physician Assistant
  • Clearwater, FL
  • NPI 1083641096
  NPD Authorized official

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1700118007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 US HIGHWAY 19 N STE 1033B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613407",
            "telephone_number": "727-726-1962",
            "fax_number": "727-726-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703248",
            "telephone_number": "727-386-4114",
            "fax_number": "727-386-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATMED QUICK QUALITY OF NORTH PINELLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-726-1962",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0083573",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley S Moles & Associates MD's PA
• Karen Stansbury
• Alison Novakovic Starkenburg, D.M.D.
• Mark A Starnes, D.O.
• Kaitlyn Starrett, MA, BCBA
• Rachael L Staton, APRN
• Jada Lee Steele, MS, CCC-SLP
• Paul Steele, MD
• Melanie Rose Stefanchik
• James H. Steg, M.D.

• Emergency Medicine Physician in Largo, FL
• Providers in Largo, 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 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.