| Community Health Center Of Pinellas Inc | |
|
14100 58th St N Ste 100 Clearwater FL 33760-9900 | |
| (727) 824-8181 | |
| (727) 824-8150 |
| Full Name | Community Health Center Of Pinellas Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14100 58th St N Ste 100, Clearwater, Florida |
| Authorized Official Name and Position | Elodie Dorso (PRESIDENT/CEO) |
| Authorized Official Contact | 7278248100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Pinellas Inc Po Box 10549 St Petersburg FL 33733-0549 Ph: (727) 824-8181 | Community Health Center Of Pinellas Inc 14100 58th St N Ste 100 Clearwater FL 33760-9900 Ph: (727) 824-8181 |
| NPI Number | 1467873315 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 03/22/2021 |
| Medicare PECOS PAC ID | 8527961028 |
|---|---|
| Medicare Enrollment ID | O20040131000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467873315 | NPI | - | NPPES |
| 060638308 | Medicaid | FL | |
| 060638309 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Rosa J. Moljo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356436505 PECOS PAC ID: 1153229638 Enrollment ID: I20031222000369 |
| Provider Name | Yaritza E Colon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467423921 PECOS PAC ID: 7315840824 Enrollment ID: I20040131000054 |
| Provider Name | Enrique Yambao Galura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134332034 PECOS PAC ID: 8921055542 Enrollment ID: I20050407000144 |
| Provider Name | Sharon M Turpin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750366894 PECOS PAC ID: 5294809455 Enrollment ID: I20080806000106 |
| Provider Name | Carlos R Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538164157 PECOS PAC ID: 4880666817 Enrollment ID: I20080819000738 |
| Provider Name | Bruce B Peters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538108758 PECOS PAC ID: 5294815296 Enrollment ID: I20090716000527 |
| Provider Name | Norma Lopez-molina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144464736 PECOS PAC ID: 9931255296 Enrollment ID: I20090929000146 |
| Provider Name | Nichelle Threadgill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497743637 PECOS PAC ID: 8820130404 Enrollment ID: I20100120000199 |
| Provider Name | Yim Lam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457363525 PECOS PAC ID: 5991980856 Enrollment ID: I20110420000073 |
| Provider Name | Michelle L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306944129 PECOS PAC ID: 0345417689 Enrollment ID: I20120127000039 |
| Provider Name | Amanda Marie Gottschalk |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306149943 PECOS PAC ID: 4082872833 Enrollment ID: I20120224000113 |
| Provider Name | Shane Gaik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033473491 PECOS PAC ID: 5395993356 Enrollment ID: I20120917000371 |
| Provider Name | Erica Schneider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376833640 PECOS PAC ID: 2668620576 Enrollment ID: I20120919000194 |
| Provider Name | Katina M Bonaparte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174770150 PECOS PAC ID: 0345421913 Enrollment ID: I20121119000425 |
| Provider Name | Sarah Kelley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598992364 PECOS PAC ID: 6406007590 Enrollment ID: I20121120000138 |
| Provider Name | Amy Gabriel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902980717 PECOS PAC ID: 2961471875 Enrollment ID: I20121218000239 |
| Provider Name | Joy L Dziopala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518208016 PECOS PAC ID: 9335386648 Enrollment ID: I20130506000062 |
| Provider Name | Denay Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992128169 PECOS PAC ID: 1557593290 Enrollment ID: I20140412000194 |
| Provider Name | Khannia Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770756587 PECOS PAC ID: 5294910196 Enrollment ID: I20150629000521 |
| Provider Name | Hillary Lungren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114283058 PECOS PAC ID: 5597088138 Enrollment ID: I20150922002971 |
| Provider Name | Christopher S Dziopala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386030344 PECOS PAC ID: 5395055321 Enrollment ID: I20151103003196 |
| Provider Name | Veronica Klammer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821356197 PECOS PAC ID: 5395048342 Enrollment ID: I20160125002393 |
| Provider Name | Dmytro Sava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033585724 PECOS PAC ID: 2163721739 Enrollment ID: I20160503001524 |
| Provider Name | Patricia Devilliers |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669568861 PECOS PAC ID: 1456358993 Enrollment ID: I20160518002135 |
| Provider Name | Jessica L Oprisiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609249168 PECOS PAC ID: 4789974858 Enrollment ID: I20160601001741 |
| Provider Name | Kim Faulkner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952458069 PECOS PAC ID: 5698784858 Enrollment ID: I20170105000551 |
| Provider Name | Christopher K Kitterman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235566852 PECOS PAC ID: 9537436084 Enrollment ID: I20170605000816 |
| Provider Name | Glivery Mary Elvambuena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336448794 PECOS PAC ID: 1850660663 Enrollment ID: I20170711002370 |
| Provider Name | Marcia Gainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376938308 PECOS PAC ID: 1456621069 Enrollment ID: I20170713003515 |
| Provider Name | Irina Viktorovna Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992067383 PECOS PAC ID: 7113174111 Enrollment ID: I20170801003052 |
| Provider Name | Elizabeth Plumley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649792649 PECOS PAC ID: 3375818719 Enrollment ID: I20171010003432 |
| Provider Name | Alyssa Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003203894 PECOS PAC ID: 8628380185 Enrollment ID: I20171101002981 |
| Provider Name | Jenny Marie Bagg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255859690 PECOS PAC ID: 5193083285 Enrollment ID: I20171219000979 |
| Provider Name | Jaime Lynn Clark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124309729 PECOS PAC ID: 2668644766 Enrollment ID: I20171220000791 |
| Provider Name | Rohit S Mehra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265854897 PECOS PAC ID: 3173884434 Enrollment ID: I20180228002969 |
| Provider Name | Roanna Michelle Eggert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871018762 PECOS PAC ID: 4284997446 Enrollment ID: I20180423000296 |
| Provider Name | Keyshla Valera Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902391303 PECOS PAC ID: 1052660024 Enrollment ID: I20180824000024 |
| Provider Name | Barbara I De La Noval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881149797 PECOS PAC ID: 5193004794 Enrollment ID: I20180912003571 |
| Provider Name | James Michael Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669953956 PECOS PAC ID: 0244583037 Enrollment ID: I20181024002000 |
| Provider Name | Mark Lloyd Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093273328 PECOS PAC ID: 9830439280 Enrollment ID: I20190321000079 |
| Provider Name | Abiola J Oki |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982050266 PECOS PAC ID: 1850632175 Enrollment ID: I20190423002758 |
| Provider Name | Robert Anthony Kickish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316280167 PECOS PAC ID: 8123361144 Enrollment ID: I20190515000359 |
| Provider Name | Jennifer Bustamante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205290624 PECOS PAC ID: 8820387947 Enrollment ID: I20200129002801 |
| Provider Name | Deborah Sue Mckinnis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528039278 PECOS PAC ID: 2365878535 Enrollment ID: I20200206001101 |
| Provider Name | Kelly Singleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073938320 PECOS PAC ID: 6800222027 Enrollment ID: I20200207000337 |
| Provider Name | Jeanette Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750776829 PECOS PAC ID: 2365702412 Enrollment ID: I20200327001140 |
| Provider Name | Laurie Montague |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326030099 PECOS PAC ID: 8527950039 Enrollment ID: I20200415001530 |
| Provider Name | Callie Ashlock |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104440676 PECOS PAC ID: 8921421108 Enrollment ID: I20200707000419 |
| Provider Name | Scott Aaron Greenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740543446 PECOS PAC ID: 1850686726 Enrollment ID: I20200824002595 |
| Provider Name | Holly Laird |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1902252794 PECOS PAC ID: 9638599707 Enrollment ID: I20201013000129 |
| Provider Name | Jaime A Egan-connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386250967 PECOS PAC ID: 0941620884 Enrollment ID: I20201015000936 |
| Provider Name | James Aaron Withrow |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083616114 PECOS PAC ID: 2062307978 Enrollment ID: I20201016000856 |
| Provider Name | Carol Blanca Czerwinski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669743514 PECOS PAC ID: 1850704826 Enrollment ID: I20210112001800 |
| Provider Name | Laci Caitlin Soldaini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902499437 PECOS PAC ID: 0840699104 Enrollment ID: I20210519001122 |
| Provider Name | Richard Austin Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104322080 PECOS PAC ID: 3870843485 Enrollment ID: I20210824001801 |
| Provider Name | Jena Liana Cabrera |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942878855 PECOS PAC ID: 1153728514 Enrollment ID: I20210928000857 |
| Provider Name | Thai Lam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225609985 PECOS PAC ID: 8325446453 Enrollment ID: I20211004003417 |
| Provider Name | Hai Duc Huynh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396419578 PECOS PAC ID: 8224426168 Enrollment ID: I20211027000332 |
| Provider Name | Tanya J Degroot |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649259698 PECOS PAC ID: 5698849859 Enrollment ID: I20211028000207 |
| Provider Name | Solange M Kwam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033607999 PECOS PAC ID: 3375951171 Enrollment ID: I20211102002085 |
| Provider Name | Sarah Elizabeth Holtje |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063971786 PECOS PAC ID: 8022499649 Enrollment ID: I20220713003637 |
| Provider Name | Kelsey A Reindel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114452968 PECOS PAC ID: 6800169186 Enrollment ID: I20220721002363 |
| Provider Name | Sherrie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649676420 PECOS PAC ID: 9032435870 Enrollment ID: I20220813000284 |
| Provider Name | Erica L Harley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730653445 PECOS PAC ID: 8123401262 Enrollment ID: I20220823000204 |
| Provider Name | Chandni Nilesh Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427518489 PECOS PAC ID: 9234513748 Enrollment ID: I20220901001776 |
| Provider Name | Chad R Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265857734 PECOS PAC ID: 0840666004 Enrollment ID: I20221013001827 |
| Provider Name | Rachel C Canizares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568197366 PECOS PAC ID: 7719354133 Enrollment ID: I20221027001815 |
| Provider Name | Julio Mario Cervantes |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457921876 PECOS PAC ID: 5395117139 Enrollment ID: I20230204000120 |
| Provider Name | Stephanie Renae Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144937251 PECOS PAC ID: 9739552233 Enrollment ID: I20230303000942 |
| Provider Name | Fernando Alexis Quintanilla Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578296034 PECOS PAC ID: 6608240791 Enrollment ID: I20230313000025 |
| Provider Name | Meng Peng |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184101685 PECOS PAC ID: 1759746183 Enrollment ID: I20230508001548 |
| Provider Name | Kyla Carney |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1437114733 PECOS PAC ID: 2860447174 Enrollment ID: I20230721000064 |
| Provider Name | Jessika J Moulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528787124 PECOS PAC ID: 1658735329 Enrollment ID: I20230913002926 |
| Provider Name | Carolinne Woodhouse |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013601020 PECOS PAC ID: 5991169203 Enrollment ID: I20230919002782 |
| Provider Name | Marlin Daveyon Patryce Hurry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194413476 PECOS PAC ID: 0446604219 Enrollment ID: I20230927002584 |
| Provider Name | Hilary R Howard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417410150 PECOS PAC ID: 8224482005 Enrollment ID: I20230927003193 |
| Provider Name | Jessica M Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417735846 PECOS PAC ID: 6709238421 Enrollment ID: I20240118002305 |
| Provider Name | Craig G Richman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780664524 PECOS PAC ID: 1355374141 Enrollment ID: I20240208002384 |
| Provider Name | Bridget Elaine Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891473880 PECOS PAC ID: 5496190068 Enrollment ID: I20240305003093 |
| Provider Name | Patricia Osborne Welsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518663392 PECOS PAC ID: 5496191363 Enrollment ID: I20240313003878 |
Naha Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13600b Icot Blvd, Clearwater, FL 33760 Phone: 727-280-0090 | |
Pediatric Health Choice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2364 Drew St, Clearwater, FL 33765 Phone: 727-723-1100 | |
Jerome Koser Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2349 Sunset Point Rd, Unit 403, Clearwater, FL 33765 Phone: 727-796-8600 Fax: 727-796-8660 | |
Yervant Khatcherian Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29605 Us Highway 19 N, Suite 170, Clearwater, FL 33761 Phone: 727-771-8444 Fax: 727-771-8604 | |
Lifeworks Wellness Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Turner St, Clearwater, FL 33756 Phone: 727-466-6789 Fax: 727-451-1010 | |
Total Family Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1831 N Belcher Rd, Suite C-3, Clearwater, FL 33765 Phone: 727-510-8464 | |
Baycare Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 Morton Plant St Ste 400, Clearwater, FL 33756 Phone: 727-461-8300 Fax: 727-635-2187 |