DR. GEORGE DOUGLAS LETSON (NPI# 1043280142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043280142 |
| Entity Type | Individual |
| Full Name | DR. GEORGE DOUGLAS LETSON |
| Credential | M.D. |
| Practice Address |
12902 Magnolia Dr Suite 5036 Tampa FL 33612-9416 |
| Mailing Address |
2503 N Dundee St Tampa FL 33629-6406 |
| Practice Telephone | 8137453976 |
| Practice Fax Number | 8137458337 |
| Mailing Telephone | 8137453976 |
| Mailing Fax Number | 8137458337 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0064409 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 373191000 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 12167 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790860435 | George W. Letson | Pediatrics | 1056 E 19th Ave, Denver, CO 80218-1007 | 2006-10-25 |
| Street Address |
12902 MAGNOLIA DR SUITE 5036 |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497211536 | Candice Monique Hallmon | Nurse Practitioner | 12902 Magnolia Dr, Fob 2, Tampa, FL 33612 | 2019-02-13 |
| 1184961864 | Ronie E Schmidt | Pharmacist | 12902 Magnolia Dr, Tampa, FL 33612-9416 | 2013-01-15 |
| 1760745913 | Rachel Kathleen Lundberg | Physician Assistant | 12902 Magnolia Dr, Tampa, FL 33612 | 2012-06-22 |
| 1821222480 | Julian A Sanchez | Surgery | 12902 Magnolia Dr, Fob-2 Gi Program, Tampa, FL 33612 | 2009-05-12 |
| 1508023714 | Bijal Shah | Internal Medicine | 12902 Magnolia Dr, Tampa, FL 33612 | 2008-05-16 |
| 1508032715 | Cristina M Odonoghue | Surgery | 12902 Magnolia Dr, Tampa, FL 33612 | 2008-05-07 |
| 1700055035 | Heather C Bridge | Physician Assistant | 12902 Magnolia Dr, Srb4, Tampa, FL 33612 | 2008-02-20 |
| 1184813123 | Timothy J Kim | Urology | 12902 Magnolia Dr, Tampa, FL 33612 | 2007-10-16 |
| 1205028867 | Jacques-pierre Fontaine | Surgery | 12902 Magnolia Dr, Tampa, FL 33612-9416 | 2007-08-16 |
| 1003938366 | Theresa A Boyle | Pathology | 12902 Magnolia Dr, Moffitt Cancer Center, Tampa, FL 33612 | 2007-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861852709 | Suchithra Hirode Ph D LLC | Specialist | 9643 Gretna Green Drive, Tampa, FL 33626 | 2016-03-04 |
| 1134588247 | Andrew Morath | Specialist | 2402 S 68th St, Tampa, FL 33619-5822 | 2016-02-17 |
| 1023412319 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 2700 W Martin Luther King Jr Blvd, Suite 250, Tampa, FL 33607-6383 | 2014-10-15 |
| 1700206000 | Diane Murray | Specialist | 13803 N Florida Ave, Tampa, FL 33613-3230 | 2014-04-24 |
| 1043652357 | Christina Maria Potter | Specialist | 97 Davis Blvd, Unit B, Tampa, FL 33606-4404 | 2013-07-28 |
| 1063851384 | Julia Ruth Undella | Specialist | 7402 Park Dr, Tampa, FL 33610-1060 | 2013-06-19 |
| 1043658545 | Roshni Patel | Specialist | 13441 Canopy Creek Dr, Tampa, FL 33625-5915 | 2013-06-06 |
| 1417293457 | Chambers Medical Group | Specialist | 1802 E Busch Blvd, Tampa, FL 33612-8664 | 2012-12-19 |
| 1205188430 | Shea Speights | Specialist | 103 W Hamilton Ave, Tampa, FL 33604-5420 | 2012-10-11 |
| 1700158847 | Tracy Lashun Williams | Specialist | 18110 Palm Beach Drive, Tampa, FL 33647 | 2012-02-06 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.