Provider Demographics
NPI:1720195688
Name:WOMEN'S HEALTH ASSOCIATES OF PINELLAS PA
Entity Type:Organization
Organization Name:WOMEN'S HEALTH ASSOCIATES OF PINELLAS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHAMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-527-2590
Mailing Address - Street 1:5501 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-2251
Mailing Address - Country:US
Mailing Address - Phone:727-527-2590
Mailing Address - Fax:727-525-0324
Practice Address - Street 1:5501 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713
Practice Address - Country:US
Practice Address - Phone:727-527-2590
Practice Address - Fax:727-525-0324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0786Medicare PIN