| Dr Johnny Nguyen, MD | |
|
501 6th Ave S, St Petersburg, FL 33701-4634 | |
| (727) 767-4341 | |
| (727) 767-8576 |
| Full Name | Dr Johnny Nguyen |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 501 6th Ave S, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194024331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME118375 (Florida) | Primary |
| Entity Name | Pediatric Physician Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnny Nguyen, MD 603 S Dakota Ave, Unit 5, Tampa, FL 33606-2552 Ph: (407) 637-9018 | Dr Johnny Nguyen, MD 501 6th Ave S, St Petersburg, FL 33701-4634 Ph: (727) 767-4341 |
Shreyash N Pandya, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, St Petersburg, FL 33709 Phone: 727-521-5066 Fax: 727-521-5137 | |
Dr. Stella M Defortuna, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-328-7800 Fax: 727-328-9555 | |
Dr. Kern M Davis, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-328-7800 Fax: 727-328-9555 | |
Dr. Edwin Jacob Humphrey Iv, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-893-6182 Fax: 727-893-6861 | |
Dr. Curtis L. Songster, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-893-6182 Fax: 727-893-6861 | |
Dr. Catherine Davis Kennedy, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 7th Ave N, St Petersburg, FL 33705 Phone: 727-328-7800 Fax: 727-328-9555 |