BLUESTONE PHYSICIAN SERVICES FL LLC (NPI# 1215388269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215388269 |
Entity Type | Organization |
Organization Name | BLUESTONE PHYSICIAN SERVICES FL LLC |
Practice Address |
10150 Highland Manor Dr Ste 240 Tampa FL 33610-9750 |
Mailing Address |
300 S Hyde Park Ave Ste 210 Tampa FL 33606-4125 |
Practice Telephone | 8132591013 |
Practice Fax Number | 8132540396 |
Mailing Telephone | 8132591013 |
Mailing Fax Number | 8132540396 |
Enumeration Date | 2016-06-30 |
Last Update Date | 2019-07-18 |
Authorized Official Name | MRS. DIANA BERNARD (DELEGATED OFFICIAL) |
Authorized Official Telephone | 8132591013 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 015006200 | 05 |
Street Address |
10150 HIGHLAND MANOR DR STE 240 |
City | TAMPA |
State | FL |
Zip Code | 33610-9750 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902809700 | James R. Cummings | Family Medicine | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2005-05-24 |
1548868862 | Irina Alexandrovna Vangelov | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2020-10-09 |
1619510849 | Heather Michelle Schlau | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2019-10-21 |
1033767587 | Kristen Lee Matulis | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2019-08-28 |
1255891313 | Sebastian Hayatyfar | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2019-03-23 |
1316405996 | Melissa Sue Carafelli | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2019-03-04 |
1861993818 | Courtney Marie Sweeting | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2018-02-26 |
1053841361 | Katie Thomas | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610-9750 | 2017-06-19 |
1881133940 | Kandi Wood | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610 | 2017-02-21 |
1912382862 | Christina Risso | Nurse Practitioner | 10150 Highland Manor Dr Ste 240, Tampa, FL 33610 | 2015-07-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
Find all providers in zip 33610 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1023507407 | Mildred Catherine Conneely | General Practice | 1701 W Jetton Ave, Tampa, FL 33606-3026 | 2018-05-01 |
1144725557 | John Henry Hoenemeyer II | General Practice | 325 W Frierson Ave, Tampa, FL 33603-1932 | 2018-03-27 |
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1114457272 | Nodal Medical Center LLC | General Practice | 2123 W Dr Martin Luther King Jr Blvd Ste 101, Tampa, FL 33607-6545 | 2017-06-12 |
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.