Organization Active NPI

J. Paonessa M.D. P.a.

  • Specialist
  • Largo, FL
National Provider Identifier
1972630440
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
8787 Bryan Dairy Rd
Suite 210
Largo, FL 33777-1251
Phone
(727) 397-9641
Fax
(727) 393-4194
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

8787 Bryan Dairy Rd
Suite 210
Largo, FL 33777-1251

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

Locations

8787 Bryan Dairy Rd
Ste 210
Largo, FL 33777
Phone (727) 394-1911

1615 Pasadena Ave S
Ste 40
South Pasadena, FL 33707
Phone (727) 821-0017

1201 5th Ave N
Ste 400
St Petersburg, FL 33705
Phone (727) 821-0017

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1972630440",
    "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": "8787 BRYAN DAIRY RD",
            "address_2": "SUITE 210",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771251",
            "telephone_number": "727-397-9641",
            "fax_number": "727-393-4194"
        }
    ],
    "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 Largo, 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.