Organization Active NPI

J. Paonessa M.D.P.a.

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1932393436
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
J. PAONESSA M.D.P.A.
Practice address
4612 N Habana Ave
Tampa, FL 33614-7112
Phone
(813) 875-2341
Fax
(813) 877-3889
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Mr. Ryan Ciarrocchi
Title
Cfo
Phone
(727) 824-4601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4612 N Habana Ave
Tampa, FL 33614-7112

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.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1932393436",
    "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": "4612 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147112",
            "telephone_number": "813-875-2341",
            "fax_number": "813-877-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. PAONESSA M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2010-11-01",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.