MR. IAN WETHERALL (NPI# 1164730289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164730289 |
| Entity Type | Individual |
| Full Name | MR. IAN WETHERALL |
| Credential | PA-C |
| Practice Address |
2 Tampa General Cir Tampa FL 33606 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-0001 |
| Practice Telephone | 8139742201 |
| Mailing Telephone | 8139742201 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2019-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9108763 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | Y0S8R | 01 |
| FL | 015310600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 455 Pinellas St, Suite 320, Clearwater, FL 337563354 | 7274462273 | 7274414966 |
| Street Address |
2 TAMPA GENERAL CIR |
| City | TAMPA |
| State | FL |
| Zip Code | 33606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889516 | Anthony O Odibo | Obstetrics & Gynecology | 2 Tampa General Cir, Stc 4th Floor, Tampa, FL 33606-3603 | 2005-05-24 |
| 1215545819 | Corinne Ann Rheinlander | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2020-07-20 |
| 1558993659 | Ali Mohammad Sobh | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2020-02-06 |
| 1689210932 | Andrew William Armstrong | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-11-21 |
| 1366008831 | Reka Dora Muller | Genetic Counselor, MS | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-05-10 |
| 1578026845 | Julie-ann Carmichael | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-04-12 |
| 1891253894 | Susana Lizette Soto-rodriguez | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-03-08 |
| 1639637259 | Amy Kelley Reinke | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-03-04 |
| 1144703638 | Kara Morgan | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2018-09-11 |
| 1346729761 | Anna Laura Strang | Genetic Counselor, MS | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508377219 | Hansel David Baez | Physician Assistant | 10740 Palm River Rd Ste 300, Tampa, FL 33619-4577 | 2017-10-20 |
| 1972502714 | Cynthia B Anders | Physician Assistant | 12880 Commodity Pl, Tampa, FL 33626-3101 | 2005-07-14 |
| 1144783630 | Rachel Tipton | Physician Assistant | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2019-04-11 |
| 1275022618 | Samantha Anna Wloch | Physician Assistant | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2018-05-01 |
| 1154825537 | Seth Lloyd | Physician Assistant | 10740 Palm River Rd Ste 300, Tampa, FL 33619-4577 | 2018-03-21 |
| 1649782384 | Riley Harms | Physician Assistant | 10740 Palm River Rd Ste 300, Tampa, FL 33619-4577 | 2017-11-03 |
| 1982137824 | Chris Taylor | Physician Assistant | 3000 Medical Park Dr, Ste 500, Tampa, FL 33613-4680 | 2017-04-07 |
| 1184157174 | Maya Niewiadomska | Physician Assistant | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2017-04-06 |
| 1720537921 | Paolo Calizo | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607 | 2016-09-28 |
| 1104293380 | Vc-pa First Assist, LLC | Physician Assistant | 10006 Cross Creek Blvd, #449, Tampa, FL 33647-2595 | 2015-08-24 |
| 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.