Individual provider Active NPI

Yolanta Sadlowski, PA-C

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1790876340
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101435 Issued in FL
Practice address
880 6TH St S Ste 430
St Petersburg, FL 33701-4825
Phone
(727) 767-4149
Fax
(727) 767-4294
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101435 FL Primary

Addresses

Primary practice location

880 6TH St S Ste 430
St Petersburg, FL 33701-4825

Mailing address

880 6TH St S Ste 430
St Petersburg, FL 33701-4825
Phone (727) 767-4149

Other identifiers 1

IdentifierTypeStateIssuer
291945100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609000539 FL Practitioner - Physician Assistant 3870883481 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101435FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pediatric Associates LLC CurrentSince Mar 13, 2016 Accepting new patients
Baycare Medical Group, Inc. Physician Assistant CurrentSince Oct 26, 2024 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Oct 26, 2024 Accepting new patients
Pediatric Physician Services, Inc. Past Accepting new patients
Pediatric Neurology Associates Past Accepting new patients
John Drygas LLC Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

880 6th St S
Ste 430
St Petersburg, FL 33701
Phone (727) 767-8477

1800 Dr Martin Luther King St N
St Petersburg, FL 33704
Phone (727) 821-2121

2191 9th Ave N
Ste 110
St Petersburg, FL 33713
Phone (727) 322-1600

4150 N Armenia Ave
Ste 103
Tampa, FL 33607

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1790876340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 6TH ST S STE 430",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014825",
            "telephone_number": "727-767-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 6TH ST S STE 430",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014825",
            "telephone_number": "727-767-4149",
            "fax_number": "727-767-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLOWSKI",
        "first_name": "YOLANTA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291945100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.