Provider Demographics
NPI:1649213778
Name:RONALD L KNAUS DO PA
Entity Type:Organization
Organization Name:RONALD L KNAUS DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:KNAUS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-518-7294
Mailing Address - Street 1:1301 SEMINOLE BLVD
Mailing Address - Street 2:B-112
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-8124
Mailing Address - Country:US
Mailing Address - Phone:727-518-7294
Mailing Address - Fax:727-584-4937
Practice Address - Street 1:1301 SEMINOLE BLVD
Practice Address - Street 2:B-112
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-8124
Practice Address - Country:US
Practice Address - Phone:727-518-7294
Practice Address - Fax:727-584-4937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0001885101YA0400X, 101YM0800X
FLMT305101YM0800X, 106H00000X
FLMH5979101YM0800X
FLPY2716103TC0700X
FLPY5146103TC0700X
FLSW77311041C0700X
FLOS18332084P0800X
FLOS81732084P0800X
FLME500142084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Not Answered2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL72425Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER