BASIL S. CHERPELIS (NPI# 1124069398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124069398 |
| Entity Type | Individual |
| Full Name | BASIL S. CHERPELIS |
| Credential | MD |
| Practice Address |
13330 Usf Laurel Dr Tampa FL 33612-6601 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-7770 |
| Practice Telephone | 8139742920 |
| Practice Fax Number | 8139744272 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | ME75479 | FL | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME75479 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 01646 | 01 |
| FL | 263144000 | 05 |
| Street Address |
13330 USF LAUREL DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579056 | Larry H. Collins | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2005-06-22 |
| 1770195075 | Andrew J Baxter | Physical Therapy Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-08-18 |
| 1104445147 | Levon Leo Ohanisian | Student in an Organized Health Care Education/Training Program | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-04-09 |
| 1497383244 | Charles Max Seifer | Student in an Organized Health Care Education/Training Program | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-03-28 |
| 1114569431 | Donna P. Ortiz | Nurse Practitioner | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-10-09 |
| 1417503269 | Ahlam Abukhdeir | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-08-16 |
| 1326694357 | Abbey Rose Liebert | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-08-15 |
| 1003469412 | Ashley Brooke Austin Johnson | Nurse Practitioner | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-07-24 |
| 1497317440 | Mackenzie Garreth | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-06-30 |
| 1477116952 | Kevin Garrett Allison | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-04-19 |
| 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 | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558378141 | Paul Herschel Bowman Md | Dermatology | 5379 Primrose Lake Circle, Tampa, FL 33647 | 2006-08-03 |
| 1508812983 | Steven Al Proper | Dermatology | 14521 University Point Pl, Tampa, FL 33613-5424 | 2006-05-26 |
| 1184670903 | Paul H Bowman | Dermatology | 5379 Primrose Lake Cir, Tampa, FL 33647-3521 | 2006-05-25 |
| 1063779072 | Jennifer Michelle Divine | Dermatology | 12901 Bruce B Downs Blvd, Mdc 41, Tampa, FL 33612-4742 | 2012-04-15 |
| 1275854614 | Nicole Marie Howe | Dermatology | 15416 N Florida Ave, Tampa, FL 33613-1244 | 2010-06-21 |
| 1649438144 | Leavitt Medical Associates of Florida Inc | Dermatology | 6919 N Dale Mabry Hwy, Ste 325, Tampa, FL 33614-3972 | 2008-05-30 |
| 1619081155 | Patrick Michael Ellison | Dermatology | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2006-08-19 |
| 1538119722 | Academic Alliance In Dermatology, Inc. | Dermatology | 5210 Webb Rd, Tampa, FL 33615-4518 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
| 1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
| 1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
| 1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
| 1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
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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.