PENA-SAMPER MEDICAL ASSOCIATES, INC (NPI# 1114108172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114108172 |
| Entity Type | Organization |
| Organization Name | PENA-SAMPER MEDICAL ASSOCIATES, INC |
| Practice Address |
7820 N Armenia Ave Tampa FL 33604-3852 |
| Practice Telephone | 8139356334 |
| Practice Fax Number | 8139355237 |
| Mailing Telephone | 8139356334 |
| Mailing Fax Number | 8139355237 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2015-07-21 |
| Authorized Official Name | MRS. KATHERINE MARCELA PENA-PERILLA (OFFICE MANAGER) |
| Authorized Official Telephone | 8139356334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME38971 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME51328 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL LICENSE | ME38971 | 01 |
| FL | 064723300 | 05 | |
| FL | FL LICENSE | ME51328 | 01 |
| Street Address |
7820 N ARMENIA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33604-3852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558308007 | Carolina Virginia Samper-pena | Internal Medicine | 7820 N Armenia Ave, Tampa, FL 33604-3852 | 2006-06-01 |
| 1760638357 | Jose E Alvarez Md Pa | Internal Medicine | 7820 N Armenia Ave, Tampa, FL 33604-3852 | 2008-08-14 |
| 1215144514 | Tampa Bay Counseling Associates Inc | Psychiatry & Neurology | 7820 N Armenia Ave, Suite A, Tampa, FL 33604-3852 | 2007-05-17 |
| 1548344054 | Mary Kathleen Cahill | Social Worker | 7820 N Armenia Ave, Suite A, Tampa, FL 33604-3852 | 2006-10-24 |
| 1316044472 | Patricia Ann Jay | Nurse Practitioner | 7820 N Armenia Ave, Tampa, FL 33604-3852 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578838 | Gail Hartmaier | Technician | 3805 East Crenshaw Street, Tampa, FL 33604 | 2019-09-24 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1578065025 | Linda Mcclain | Counselor | 7207 North Nebraska Avenue, Tampa, FL 33604 | 2018-03-01 |
| 1851811178 | Rosa Ramirez-tineo | Counselor | 7207 N Nebraska Avenue, Tampa, FL 33604 | 2017-06-27 |
| 1225432651 | Anna Stouffer | Nurse Practitioner | 17 Davis Blvd., Suite 402, Tampa, FL 33604 | 2014-10-14 |
| 1982028601 | Yetey Enterprises Inc Dba Springswater Alf | Assisted Living Facility | 1411 E Waters Ave, Tampa, FL 33604 | 2014-02-17 |
| 1053734301 | Yetey Enterprises Inc | Assisted Living Facility | 8602 N 22nd St, Tampa, FL 33604 | 2014-01-22 |
| 1902232887 | Sierra Alicia Montgomery | Developmental Therapist | 300 E Sligh Ave, Tampa, FL 33604 | 2013-09-23 |
| 1639432305 | Carmen's Goodcare Alf, Corp. | Assisted Living Facility | 908 W Yukon St., Tampa, FL 33604 | 2012-06-19 |
| 1427328913 | Daniellas Alf LLC | Respite Care | 1910 W Fern St, Tampa, FL 33604 | 2011-12-30 |
| Find all providers in zip 33604 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1134464910 | Dae Won Kim | Internal Medicine | Moffitt Cancer Center 12902 Magnolia Drive, Tampa, FL 33612 | 2012-12-04 |
| 1366649881 | Tampa Bay Oncology-hematology Associates | Internal Medicine | 4910 N Armenia Ave, Tampa, FL 33603-1402 | 2007-06-28 |
| 1427068493 | Lewis E Auerbach | Internal Medicine | 2111 W. Swann Ave., Suite 102, Tampa, FL 33606-2478 | 2006-08-09 |
| 1750303905 | Tawee Tanvetyanon | Internal Medicine | H. Lee Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL 33613 | 2006-07-24 |
| 1174571699 | Ron D Schiff | Internal Medicine | 3238 Cove Bend Dr, Tampa, FL 33613-2752 | 2006-05-05 |
| 1841273943 | Jawan Corine Ayer-cole | Internal Medicine | 800 W Dr Martin Luther King Jr Blvd, Ste4, Tampa, FL 33603-3320 | 2005-11-22 |
| 1669475158 | Jose Leonel Ochoa-bayona | Internal Medicine | 12902 Usf Magnolia Dr, Fob 3 Bmt, Tampa, FL 33612-9416 | 2005-05-27 |
| 1538691381 | Alexandre Mark Tungesvik | Internal Medicine | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2017-03-31 |
| 1588110639 | Abdul Rashid Shah | Internal Medicine | 12902 Magnolia Drive, H.lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612 | 2016-08-29 |
| 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.