DR. JONATHAN WAXMAN (NPI# 1194761973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194761973 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN WAXMAN |
| Credential | M.D. |
| Practice Address |
3003 W Dr Martin Luther King Jr Blvd Fl 2 Tampa FL 33607-6307 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 8132380810 |
| Practice Fax Number | 8132380811 |
| Mailing Telephone | 7275321355 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME99916 | FL | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 38951 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09016196 | 05 | |
| AR | 159651001 | 05 | |
| MS | 02021708 | 05 | |
| MO | 209347905 | 05 | |
| TN | INDIVID # | 4095320 | 01 |
| AR | INDIVID # | 99676 | 01 |
| TN | 3713059 | 05 | |
| FL | 024508200 | 05 | |
| TN | 3339325 | 05 | |
| TN | TAX ID | 62-1719735 | 01 |
| AR | GRP # | 8P057 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 670 Glades Rd, Suite#300, Boca Raton, FL 334316461 | 5613952626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386063824 | Jonathan Waxman | Otolaryngology | 4201 Saint Antoine St, Uhc 5-e, Detroit, MI 48201-2153 | 2014-04-14 |
| Street Address |
3003 W DR MARTIN LUTHER KING JR BLVD FL 2 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235693268 | Beverly Suzanne Jucknath | Registered Nurse | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2019-01-23 |
| 1265930267 | Mackenzie Donigan Saadeh | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2018-01-25 |
| 1841701125 | Zoe Rose Quinn-kelly | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2017-10-13 |
| 1659892651 | Bari Murtuza | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2017-06-29 |
| 1912459249 | David A Wiles | Nurse Practitioner | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2016-11-03 |
| 1720537921 | Paolo Calizo | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607 | 2016-09-28 |
| 1366815870 | Angela P Laube | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2015-11-05 |
| 1275891913 | John P Schmittner | Internal Medicine | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607-6307 | 2012-05-01 |
| 1407090723 | Phillips Brewster Harrington | Surgery | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607 | 2009-04-30 |
| 1982866133 | Alexis R Powell | Surgery | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607 | 2008-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720581937 | John J Dunning | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12901 Bruce B Downs Blvd # 62, Tampa, FL 33612-4742 | 2018-03-14 |
| 1871020545 | Nicholas James Sears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 Knights Run Ave, Suite 1406, Tampa, FL 33602-6300 | 2017-05-12 |
| 1679815393 | Michael D Yarnoz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3203 Bayshore Blvd, Unit 1702, Tampa, FL 33629-1720 | 2013-03-20 |
| 1598016313 | Jpa Operations, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17323 Emerald Chase Dr, Tampa, FL 33647-3516 | 2012-09-20 |
| 1306132527 | Physician Enterprises Pl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3007 W Fair Oaks Ave, Tampa, FL 33611-1640 | 2011-06-27 |
| 1194030122 | Mazin Adel Ahmed Al Salihi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Tampa General Cir Ste 820, Tampa, FL 33606-3658 | 2010-08-14 |
| 1629216601 | Esfandiar Shafii | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10318 Orange Grove Dr, Tampa, FL 33618-4021 | 2009-01-28 |
| 1083883284 | Diego A Bognolo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10301 Reclinata Ln, Tampa, FL 33618-4434 | 2008-02-21 |
| 1689735649 | Richard Warren Perry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1107 Shipwatch Cir, Tampa, FL 33602-5721 | 2006-12-13 |
| 1093721623 | Keith Eric Sommers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Tampa General Cir Ste 860, Tampa, FL 33606-3573 | 2006-08-01 |
| 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.