BENJAMIN PASS (NPI# 1184965071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184965071 |
| Entity Type | Individual |
| Full Name | BENJAMIN PASS |
| Practice Address |
3250 Zemke Ave Tampa FL 33621-5023 |
| Practice Telephone | 2123056726 |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2018-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| Street Address |
3250 ZEMKE AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33621-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621856 | Michael Andre Couvillon | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2005-07-07 |
| 1437756343 | Molly Buchanan | Optometrist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-10-04 |
| 1851917967 | Cristina Brock De Jesus | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-06-24 |
| 1588283188 | Echo Sims | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-04-13 |
| 1275152852 | Kimberley Nichole Wissner | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-04-13 |
| 1275171233 | Michael David Jensen | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-12-20 |
| 1023661196 | Jazzy-mae Nieto | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-07-18 |
| 1588227243 | Max E Lindgren | Physician Assistant | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-04-18 |
| 1366904948 | Sindy Johanna Maldonado | Physician Assistant | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-04-03 |
| 1164993135 | Jessica Hague | Psychologist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1922407659 | Michelle Lind | Social Worker | 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 | 2014-08-19 |
| 1588932768 | Katherine Holmes | Physician Assistant | 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2011-12-02 |
| 1558378273 | Graeme Charles Bicknell | Social Worker | 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 | 2006-08-02 |
| 1659346146 | Laura Umfer | Psychologist | 4515 Bayshore Blvd, Tampa, FL 33621 | 2006-02-20 |
| 1205808516 | Kenneth Joseph Baron | Physician Assistant | 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 | 2006-02-02 |
| 1760478044 | Michael Glenn Hodges | Family Medicine | 3250 Zerkle Avenue, Macdill Afb, FL 33621 | 2005-09-22 |
| 1003801242 | Heather Ann Newman | Nurse Anesthetist, Certified Registered | 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 | 2005-09-14 |
| 1861486789 | Daniel N. Park | Physician Assistant | Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2005-09-07 |
| 1164675070 | 6 Medical Group | Military Hospital | 8415 Bayshore Blvd, Macdill Base, Tampa, FL 33621 | 2008-10-23 |
| Find all providers in zip 33621 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649682 | Margely Carrion | Student in an Organized Health Care Education/Training Program | 4931 Town N Country Blvd, Tampa, FL 33615-4640 | 2020-11-03 |
| 1699374785 | Meghan Elizabeth Berry | Student in an Organized Health Care Education/Training Program | 6621 Canopy Lakes Ct Apt 402, Tampa, FL 33625-4174 | 2020-10-20 |
| 1578162947 | Hayly Alexandrea Babcock | Student in an Organized Health Care Education/Training Program | 936 S Howard Ave Unit 305, Tampa, FL 33606-2492 | 2020-10-18 |
| 1821605023 | Jenna Vachon | Student in an Organized Health Care Education/Training Program | 7413 S West Shore Blvd, Tampa, FL 33616-2818 | 2020-09-30 |
| 1255947131 | Jesse Wood | Student in an Organized Health Care Education/Training Program | 124 S Morgan St Unit 1123, Tampa, FL 33602-5325 | 2020-09-16 |
| 1053925321 | Miranda Nunez | Student in an Organized Health Care Education/Training Program | 2806 W Powhatan Ave, Tampa, FL 33614-6039 | 2020-09-03 |
| 1114536141 | Natalie Michelle Fernandez | Student in an Organized Health Care Education/Training Program | 3107 N Perry Ave, Tampa, FL 33603-5346 | 2020-07-27 |
| 1215552112 | Yaimara Pena | Student in an Organized Health Care Education/Training Program | 10134 Lake Oak Cir, Tampa, FL 33624-5214 | 2020-06-16 |
| 1538784780 | Kristen N Moeller | Student in an Organized Health Care Education/Training Program | 6119 D and J Dr, Tampa, FL 33625-3264 | 2020-06-13 |
| 1548884513 | Bassam Aysheh | Student in an Organized Health Care Education/Training Program | 10350 Rosemount Dr, Tampa, FL 33624-5122 | 2020-06-04 |
| 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.