PETER A DONELAN MD PA (NPI# 1174702989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174702989 |
| Entity Type | Organization |
| Organization Name | PETER A DONELAN MD PA |
| Practice Address |
3000 E Fletcher Ave Suite 200 Tampa FL 33613-4656 |
| Practice Telephone | 8139721229 |
| Practice Fax Number | 8139721889 |
| Mailing Telephone | 8139721229 |
| Mailing Fax Number | 8139721889 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | DR. PETER A DONELAN (OWNER) |
| Authorized Official Telephone | 8139721229 |
| Authorized Official Credential | MD PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME0035372 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE/RAILROAD | 070007283 | 01 |
| Street Address |
3000 E FLETCHER AVE SUITE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522684 | Sami Elchahal | Internal Medicine | 3000 E Fletcher Ave, Suite 370, Tampa, FL 33613-4656 | 2005-07-18 |
| 1376998369 | Kevin L Klein Do Pa | Internal Medicine | 3000 E Fletcher Ave, Suite 370, Tampa, FL 33613-4656 | 2016-04-27 |
| 1508288721 | Meghan Poe | Nurse Anesthetist, Certified Registered | 3000 E Fletcher Ave, Tampa, FL 33613-4656 | 2014-01-07 |
| 1689004384 | Christa Ashley Conologue | Nurse Practitioner | 3000 E Fletcher Ave, Suite 350, Tampa, FL 33613-4656 | 2013-11-15 |
| 1932541505 | Tracy Samantha Taylor | Physician Assistant | 3000 E Fletcher Ave, Suite 320, Tampa, FL 33613-4656 | 2013-07-24 |
| 1861835050 | Maureen Gloria Gonzalez | Nurse Practitioner | 3000 E Fletcher Ave, Suite 350, Tampa, FL 33613-4656 | 2013-04-08 |
| 1518228865 | Ernesto Jimenez, Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 E Fletcher Ave, Suite 350, Tampa, FL 33613-4656 | 2012-06-04 |
| 1104182427 | Ryan Matthew Mellor | Surgery | 3000 E Fletcher Ave, Ste 320, Tampa, FL 33613-4656 | 2012-04-11 |
| 1649563123 | Joseph J Hirschfeld Md Pa | Specialist | 3000 E Fletcher Ave, Suite 260, Tampa, FL 33613-4656 | 2011-05-17 |
| 1265760771 | Sindhu Basavaiah Igala | Internal Medicine | 3000 E Fletcher Ave, Suite 350, Tampa, FL 33613-4656 | 2009-11-20 |
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| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
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|---|---|---|---|---|
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| 1275625006 | Miloslava Souckova Mician | Dermatology | 3619 W Waters Avenue, Tampa, FL 33614 | 2006-09-29 |
| 1316204258 | Dirk W. R. Suringa M.d. P.a. | Dermatology | 508 S Habana Ave, Tampa, FL 33609-4181 | 2012-04-17 |
| 1194854679 | Linda J Flynn | Dermatology | 2605 W Swann Ave, Suite #300, Tampa, FL 33609-4039 | 2007-03-02 |
| 1841267895 | Michael A. Scannon Md Pa | Dermatology | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6438 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579002 | Alicia Nunez | Dermatology | 1000 W Broadway St Ste 206, Oviedo, FL 32765-9262 | 2019-07-01 |
| 1477114197 | Leslie Z Rohaidy | Dermatology | 55 Se 6th St Apt 3101, Miami, FL 33131-2570 | 2019-06-24 |
| 1376029579 | Gulfshore Dermatology At Coralwood, Pa | Dermatology | 326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909-2288 | 2018-07-11 |
| 1033639786 | Beautysmart Dermatology Clinic and Medical Spa LLC | Dermatology | 94 S Federal Hwy, Boca Raton, FL 33432-4825 | 2017-06-23 |
| 1215319793 | Orlando Skin Institute, LLC | Dermatology | 110 Pond Ct, Ste 301, Debary, FL 32713 | 2015-06-22 |
| 1336584960 | Devorah R Shagalov | Dermatology | 3850 Hollywood Blvd Ste 403, Hollywood, FL 33021-6746 | 2013-05-09 |
| 1871834606 | Geoffrey Michael Siegel | Dermatology | 478 Alamanda Dr, Hallandale Beach, FL 33009-6508 | 2013-03-04 |
| 1174852560 | Nautilus Health Care Group, LLC | Dermatology | 5220 Belfort Rd S, Ste 130, Jacksonville, FL 32256 | 2009-12-14 |
| 1447494885 | Matteo Taerri | Dermatology | 510 Howard Ct, Sarasota, FL 34236-5050 | 2009-04-29 |
| 1780852202 | Michael J. Rogers Md | Dermatology | 727 Us 27 S, Sebring, FL 33870-2169 | 2008-02-19 |
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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.