Elizabeth A McDonald-Dallessio, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101492 Issued in FL

Practice address

3550 Buschwood Park Dr
Suite 350
Tampa, FL 33618-4461

Phone

(813) 936-5000

Fax

(813) 936-5001

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Internal Medicine Associates of Lee County Hospitalist Group, LLC

  • Hospitalist Physician
  • Fort Myers, FL
  • NPI 1033402185
  NPD (past)
• South Gulf Coast Emergency Physicians PA

  • Emergency Medicine Physician
  • Ft Myers, FL
  • NPI 1124013149
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1891895207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 BUSCHWOOD PARK DR",
            "address_2": "SUITE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184461",
            "telephone_number": "813-936-5000",
            "fax_number": "813-936-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 BUSCHWOOD PARK DR",
            "address_2": "SUITE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184461",
            "telephone_number": "813-936-5000",
            "fax_number": "813-936-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD-DALLESSIO",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2913372 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina McDaniel, APRN
• Mary Tabor McDaniels, LCSW
• Erin Ann McDermitt
• Maeisha Moneike McDermott, PA-C
• Mary Beth McDermott, LCSW
• Alex McDonald III, PHRAMD.
• Alice McDonald, DO
• Alison Vannah-Fialka McDonald
• Amanda Katherine McDonald, PA-C
• Ayanna McDonald, M.A.

• Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.