Statmed Quick Quality Clinic at North Pinellas LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME0083573 Issued in FL

Legal business name

STATMED QUICK QUALITY CLINIC AT NORTH PINELLAS LLC

Practice address

27001 US Highway 19 N Ste 1033B
Clearwater, FL 33761-3407

Phone

(727) 726-1962

Fax

(727) 726-1606

NPI assigned

Dec 14, 2007

Last updated

May 1, 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

Mr. 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 of North Pinellas, LLC

  • Emergency Medicine Physician
  • Largo, FL
  • NPI 1700118007

  O20080515000251

  Same enrollment

Locations

Practitioners 12

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
  Medicare reassignment Authorized official
• Victor Damaso Cruz, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1861622060
  Medicare reassignment NPD
• Jodianne C Coffee, PA-C

  • Physician Assistant
  • Clearwater, FL
  • NPI 1245705862
  Medicare reassignment
• Tamara Dismukes, PA-C

  • Medical Physician Assistant
  • Tampa, FL
  • NPI 1306219431
  Medicare reassignment
• Rachel Louise Embry, PA-C

  • Physician Assistant
  • Brandon, FL
  • NPI 1760518906
  Medicare reassignment
• Janelle Griffith, PA-C

  • Physician Assistant
  • Tampa, FL
  • NPI 1770764516
  Medicare reassignment
• Marisa Brianna Varela Huchro

  • Physician Assistant
  • Crystal River, FL
  • NPI 1265397855
  Medicare reassignment
• Lori E Kelvy, NURSE PRACTITIONER

  • Nurse Practitioner
  • Hollywood, FL
  • NPI 1700519915
  Medicare reassignment
• Martin McDowell, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Tarpon Springs, FL
  • NPI 1477265114
  Medicare reassignment
• Zara Jannine Montufar

  • Pediatric Nurse Practitioner
  • Orlando, FL
  • NPI 1336730597
  Medicare reassignment
• Santiago Martinez, MD

  • Allergy & Immunology Physician
  • Orlando, FL
  • NPI 1760405203
  NPD (past)
• Stacy K Silvers, M.D.

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1467629337
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1861675654",
    "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": "27001 US HIGHWAY 19 N STE 1033B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613407",
            "telephone_number": "727-726-1962",
            "fax_number": "727-726-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATMED QUICK QUALITY CLINIC AT NORTH PINELLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2018-05-01",
        "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_name_prefix": "Mr.",
        "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": []
}

• Stanwood LLC
• Nicholas Stapert
• Vanessa Stapleton-Waugh, D.C.
• Abigail Grace Starkey
• Trudi Elizabeth Starks, LPN
• Statmed Quick Qualityclinc at North Pinellasllc
• Rosemarie Stauffer, LCSW
• Jan Stautz-Hamlin
• Alyssa Stead, LMHC
• Linda H Stearns, ARNP

• Emergency Medicine Physician in Clearwater, FL
• Providers in Clearwater, 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 May 1, 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.