CHARLES DAVID EVERSOLE (NPI# 1194775106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194775106 |
| Entity Type | Individual |
| Full Name | CHARLES DAVID EVERSOLE |
| Credential | M.D. |
| Practice Address |
13000 Bruce B Downs Blvd Tampa FL 33612-4745 |
| Mailing Address |
5211 Sand Trap Pl Valrico FL 33594-8291 |
| Practice Telephone | 8139727514 |
| Mailing Telephone | 8139727514 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
12988 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
13000 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707244 | Shirly S Moonjeli | Family Medicine | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2005-06-01 |
| 1568063238 | Katelyn Panawash | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-08 |
| 1477154813 | Angela Andersen | Speech-Language Pathologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-03 |
| 1730780339 | Tamara Pasquel | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-02 |
| 1306445135 | James Mark Kaplan | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-10-22 |
| 1063011203 | Marina Lynn Leander | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-10-20 |
| 1881201580 | Brent Gibson | Student in an Organized Health Care Education/Training Program | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-26 |
| 1033725106 | Brighid M Rebolledo | Occupational Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-23 |
| 1447863345 | Emmanuella Armand | Nurse Practitioner | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-08-28 |
| 1982217238 | Julia Marie Lopez | Psychologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-08-26 |
| 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 | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740292804 | Jamie Todd Caracciolo | Radiology | 3301 Usf Alumni Dr, Tampa, FL 33612-9413 | 2006-08-13 |
| 1336374305 | David D Huang | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2009-05-20 |
| 1942486873 | Michael John Nicholas | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2008-01-10 |
| 1396958872 | Bret Jared Neiderman | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2007-05-08 |
| 1801985072 | John C Feldman | Radiology | 2700 University Square Dr, Radiology Assoc of Tampa, Tampa, FL 33612-5513 | 2006-10-12 |
| 1972517241 | Benjamin A Biebel | Radiology | 12902 Magnolia Dr., Tampa, FL 33612 | 2006-07-29 |
| 1740225424 | Osman Cay | Radiology | 1300 Bruce B Downs Blvd, Tampa, FL 33612-9217 | 2006-06-18 |
| 1437191376 | Locke W Barber | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2006-06-12 |
| 1669428918 | David O. Cartaya | Radiology | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-05-26 |
| 1144279035 | Matthew R Karlen | Radiology | 100 South Ashley Drive, Suite 1500, Tampa, FL 33602-5318 | 2006-05-08 |
| 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.