DR. KEVIN J DONNELLY (NPI# 1124020557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124020557 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J DONNELLY |
| Credential | MD |
| Practice Address |
Suncoast Ent Surgical Specialists 4714 N Armenia Ave. Ste 200 Tampa FL 33603-2603 |
| Mailing Address |
Select Physicians Alliance 10002 Princess Palm Ave. Ste 332 Tampa FL 33619-8327 |
| Practice Telephone | 8138728794 |
| Practice Fax Number | 8138791652 |
| Mailing Telephone | 8135717184 |
| Mailing Fax Number | 8136544695 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME0068587 | FL | Other Service Providers |
| Y | 207Y00000X | Otolaryngology | ME68587 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366805517 | Kevin Donnelly | Internal Medicine | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2016-04-04 |
| 1114338449 | Kevin Donnelly | Anesthesiology | 1 Mill River Ln Apt 105, Ardsley, NY 10502-1545 | 2014-05-08 |
| 1780989004 | Kevin Richard Donnelly | Social Worker | 4035 University Pkwy, Suite 101, Winston Salem, NC 27106-3276 | 2011-01-18 |
| 1730408436 | Kevin Patrick Donnelly | Family Medicine | 1166 K St, Brawley, CA 92227-2737 | 2010-05-20 |
| 1497968598 | Kevin Mark Donnelly | Physical Therapist | 2210 Se 17th St, 302, Ocala, FL 34471-9144 | 2007-05-07 |
| 1073649091 | Kevin Michael Donnelly | Registered Nurse | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2007-02-26 |
| 1316003551 | Kevin Joseph Donnelly | Psychologist | 1153 Centre St, Jamaica Plain, MA 02130-3446 | 2006-12-30 |
| 1609947373 | Kevin B Donnelly | Chiropractor | 7301 W National Ave, West Allis, WI 53214-4737 | 2006-11-13 |
| 1790712388 | Kevin Donnelly | Family Medicine | 1301 33rd St S, St Cloud, MN 56301 | 2006-06-27 |
| Street Address |
SUNCOAST ENT SURGICAL SPECIALISTS 4714 N ARMENIA AVE. STE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33603-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494815 | Sanford R Dolgin | Specialist | Suncoast Ent Surgical Specialists, 4714 N Armenia Ave. Ste 200, Tampa, FL 33603-2603 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285953679 | Matthew J Mifsud | Otolaryngology | 2 Tampa General Cir Fl Circle2, Tampa, FL 33606-3603 | 2010-05-25 |
| 1801124839 | Martin Joseph Adelman | Otolaryngology | 16307 Avila Blvd, Tampa, FL 33613-1000 | 2009-12-02 |
| 1942473921 | Kathleen A Macisaac | Otolaryngology | 4320 S Manhattan Ave, Tampa, FL 33611-1304 | 2008-04-10 |
| 1528273455 | Michael James Butler | Otolaryngology | 6432 Renwick Cir, Tampa, FL 33647-1172 | 2007-05-14 |
| 1215019179 | Jonathan Lyons Chadwick | Otolaryngology | 4714 N Armenia Ave Ste 200, Tampa, FL 33603-2603 | 2006-10-20 |
| 1972530616 | Warren S. Goldstein | Otolaryngology | 7425 Monika Manor Dr, Tampa, FL 33625-5814 | 2006-06-27 |
| 1487680856 | Douglas William Klotch | Otolaryngology | 3450 E Fletcher Avenue, Suite 260, Tampa, FL 33613 | 2006-06-25 |
| 1164469151 | George Blake M.d., P.a. | Otolaryngology | 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479 | 2006-05-31 |
| 1821049826 | Amanollah -- Tabesh | Otolaryngology | 7001 N Dale Mabry Hwy, Suite # 3, Tampa, FL 33614-3910 | 2006-05-14 |
| 1437143104 | Lance R Meyerson | Otolaryngology | 12500 N Dale Mabry Hwy Ste F, Tampa, FL 33618-2809 | 2005-09-08 |
| 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.