| Theodore Hanley, MD | |
|
10601 Gandy Blvd N Apt 4302, Saint Petersburg, FL 33702-1505 | |
| (917) 821-5813 | |
| Not Available |
| Full Name | Theodore Hanley |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 10601 Gandy Blvd N Apt 4302, Saint 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 |
|---|---|---|---|
| 1235183559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME136477 (Florida) | Primary |
| 174400000X | Specialist | 187032 (New York) | Secondary |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Hanley, MD 10601 Gandy Blvd N Apt 4302, Saint Petersburg, FL 33702-1505 Ph: (517) 787-6440 | Theodore Hanley, MD 10601 Gandy Blvd N Apt 4302, Saint Petersburg, FL 33702-1505 Ph: (917) 821-5813 |
Carlos Jose Munoz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 6th Ave S, Saint Petersburg, FL 33701 Phone: 727-767-3679 | |
Dr. Stuart Lipman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 353 4th Ave S, Saint Petersburg, FL 33701 Phone: 727-560-1222 Fax: 206-600-5923 | |
Dr. Gregory Nicholas Kozlov, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 204 37th Ave N, Suite 125, Saint Petersburg, FL 33704 Phone: 727-331-2457 | |
Dr. Harshini Dhananjay, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6333 54th Ave N, Saint Petersburg, FL 33709 Phone: 727-548-6100 Fax: 727-497-2322 | |
Dr. Julio Alan Warren, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 7th Ave N, Saint Petersburg, FL 33705 Phone: 727-322-6006 | |
Dr. Gregory Thomas Flynn, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1948 Carolina Ave Ne, Saint Petersburg, FL 33703 Phone: 813-465-9686 |