Organization Active NPI

J Paonessa M.D., P.a.

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1700913225
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
J PAONESSA M.D., P.A.
Practice address
900 Carillon Pkwy
Suite 400
St Petersburg, FL 33716-1115
Phone
(727) 231-0259
Fax
(727) 231-0260
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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 Primary
Durable Medical Equipment & Medical Supplies 332B00000X FL

Addresses

Primary practice location

900 Carillon Pkwy
Suite 400
St Petersburg, FL 33716-1115

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
Tax ID family
Gulfcoast Oncology Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 Carillon Pkwy
Ste 400
St Petersburg, FL 33716
Phone (727) 231-0259

1201 5th Ave N
Ste 505
St Petersburg, FL 33705
Phone (727) 821-0017

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1700913225",
    "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": "900 CARILLON PKWY",
            "address_2": "SUITE 400",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161115",
            "telephone_number": "727-231-0259",
            "fax_number": "727-231-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J PAONESSA M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-05-19",
        "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": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "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 May 19, 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.