OHI WEST MEDICAL GROUP, LLC (NPI# 1285240192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285240192 |
| Entity Type | Organization |
| Organization Name | OHI WEST MEDICAL GROUP, LLC |
| Other Organization Name | BAYFRONT HEALTH ST. PETERSBURG IMAGING CENTER (Doing Business As Name) |
| Practice Address | 2201 Central Ave Ste 100 St Petersburg FL 33713-8844 |
| Practice Telephone | 7273217057 |
| Practice Fax Number | 7273217049 |
| Mailing Address | 3090 Caruso Ct Ste 50 Orlando FL 32806-8510 |
| Mailing Telephone | 4074817174 |
| Certification Date | 2020-10-05 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-10-05 |
| Authorized Official Telephone | 4074817156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Bayfront Health St. Petersburg Imaging Center | Doing Business As Name |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977926 | Ohi West Medical Group, LLC | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 | |
| 1619583184 | Ohi West Medical Group, LLC | 7000 4th St N, Saint Petersburg, FL 33702-5903 | 2020-09-21 | |
| 1518572551 | Ohi West Medical Group, LLC · Bayfront Health St. Petersburg Medical Group | 701 6th St S, St Petersburg, FL 33701-4814 | 2020-09-15 |
| Street Address | 2201 CENTRAL AVE STE 100 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942793260 | Clearpoint Psychology, LLC · Clearpoint Psychology | Psychologist · Clinical | 2201 Central Ave Ste 300, St Petersburg, FL 33713-8844 | 2018-06-11 |
| 1043744949 | Jake Lowe | Chiropractor | 2253 Central Ave, 106, St Petersburg, FL 33713-8844 | 2017-04-18 |
| 1730312943 | Heather Herrema · Heather Jones | Psychiatry & Neurology · Neurology | 2201 Central Ave Ste 200, St Petersburg, FL 33713-8844 | 2009-09-03 |
| 1003801713 | Steven R. Cohen | Psychiatry & Neurology · Neurology with Special Qualifications in Child Neurology | 2201 Central Ave, Suite 200, St Petersburg, FL 33713-8844 | 2005-09-19 |
| 1265435481 | Christina M Diaz | Psychiatry & Neurology · Neurology | 2201 Central Avenue, Ste. 200, St. Petersburg, FL 33713-8844 | 2005-05-23 |
| 1619599669 | Jason Guerrera | Physical Therapy Assistant | 2201 Central Ave, St Petersburg, FL 33713-8844 | 2020-05-13 |
| 1962946830 | Beth Hoppe | Radiologic Technologist · Magnetic Resonance Imaging | 2201 Central Ave, St Petersburg, FL 33713-8844 | 2016-12-13 |
| 1194269084 | Gina Therese Herrera | Radiologic Technologist · Sonography | 2201 Central Ave, St Petersburg, FL 33713-8844 | 2016-12-12 |
| 1265976179 | Susan Schlachter | Radiologic Technologist · Magnetic Resonance Imaging | 2201 Central Ave, St Petersburg, FL 33713-8844 | 2016-12-12 |
| 1285178194 | Shelley Rae Graham I | Radiologic Technologist · Magnetic Resonance Imaging | 2201 Central Ave, Saint Petersburg, FL 33713-8844 | 2016-12-12 |
| Find all providers in zip 33713-8844 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist · General Practice | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert · Julie Anne Marlowe | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1497262984 | Lavanya Gopal | Nurse Practitioner · Primary Care | 3520 38th Ave N, St Petersburg, FL 33713 | 2018-01-05 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak · Teresa E Ullman | Physician Assistant · Medical | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist · General Practice | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729665 | Excel Diagnostic Services LLC | 1109 Darlington Oak Dr Ne, St Petersburg, FL 33703-6314 | 2005-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932792405 | Hrmgt Corp | 2067 Ne 163rd St, North Miami Beach, FL 33162-4901 | 2021-02-16 | |
| 1033702501 | Hrmgt Corp | 852 Collins Ave, Miami Beach, FL 33139-5808 | 2021-02-16 | |
| 1386240612 | Usa Meditech LLC | 1680 Michigan Ave Ste 916, Miami Beach, FL 33139-2550 | 2020-12-10 | |
| 1720637317 | Neurophysiology Diagnostic Center LLC | 4102 N Macdill Ave Unit B, Tampa, FL 33607-6717 | 2019-09-06 | |
| 1619446853 | Myvy Southwest Imaging LLC | 1160 Kane Concourse Ste 402, Bay Harbor Is, FL 33154-2059 | 2018-11-16 | |
| 1366919961 | Richard Thomas Escobar | 2111 S Pine Ave Ste B, Ocala, FL 34471-8194 | 2018-11-01 | |
| 1205327939 | Neurology Center of North Florida, LLC | 4241 Nw American Ln, Lake City, FL 32055-4881 | 2018-05-30 | |
| 1316398787 | Braincare, LLC | 12301 Lake Underhill Rd Ste 201, Orlando, FL 32828-4511 | 2016-06-28 | |
| 1124486931 | R&r Medx Solutions LLC · R&r Medx | 7144 Stirling Rd, Ste 185, Hollywood, FL 33024-1650 | 2016-02-08 | |
| 1730568486 | My Diagnostic Team Inc | 3114 45th St, Suite 9, West Palm Beach, FL 33407-1945 | 2015-05-28 | |
| Find all providers in the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912136987 | West Gastroenterology Medical Group · West Gastroentrology Medical Group | Specialist | 25405 Hancock Ave, Suite 210, Murrieta, CA 92562-5982 | 2009-07-10 |
| 1477605285 | Key West Medical Group P A · Southern Medical Group | Internal Medicine | 1111 12th St, Suite210, Key West, FL 33040-4088 | 2007-01-18 |
| 1689892705 | East-West Anesthesia Medical Group Inc · Alternative Anesthesia Medical Group Inc | Anesthesiology · Pediatric Anesthesiology | 7300 Medical Center Dr, West Hills, CA 91307-1902 | 2007-04-23 |
| 1801051784 | Lakeside Medical Associates, A Medical Group, Inc. · Lakeside Community Healthcare Medical Group | Internal Medicine | 1500 W West Covina Pkwy, West Covina, CA 91790-2708 | 2008-07-21 |
| 1104072339 | Lakeside Medical Associates, A Medical Group, Inc. · Lakeside Community Healthcare Medical Group | Obstetrics & Gynecology | 7345 Medical Center Drive, Suite 500, West Hills, CA 91307-1964 | 2008-08-07 |
| 1184884769 | Lakeside Medical Associates A Medical Group Inc · Lakeside Community Healthcare Medical Group | Internal Medicine · Cardiovascular Disease | 7325 Medical Center Dr, Suite 300, West Hills, CA 91307-1925 | 2008-06-17 |
| 1871673798 | West Valley Medical Group LLC · West Valley Medical Group LLC | Internal Medicine | 1906 Fairview Ave Ste 230, Caldwell, ID 83605-5432 | 2006-10-16 |
| 1518576867 | Poudre Valley Medical Group, LLC · Uchealth Medical Group | General Practice | 333 North West Street, Woodland Park, CO 80863 | 2020-07-23 |
| 1487851044 | Bellevue Medical Group, LLC · West End Medical Group | Internal Medicine | 4230 Harding Rd, Suite 530 Heart Institute, Nashville, TN 37205-2013 | 2007-06-28 |
| 1639233166 | Shine Medical Group Inc. · Casas Medical Group | Family Medicine | 1901 W Badillo St, West Covina, CA 91790-1133 | 2006-12-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.