DR. MARK DAVID HERBST (NPI# 1225129083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225129083 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID HERBST |
| Credential | M.D., PH.D. |
| Practice Address |
3900 Central Ave St Petersburg FL 33711-1238 |
| Practice Telephone | 7273275006 |
| Practice Fax Number | 7273273077 |
| Mailing Telephone | 7273275006 |
| Mailing Fax Number | 7273273077 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME 60533 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992014237 | Mark Kenneth Herbst | Speech-Language Pathologist | 4061 Creek Rd, Youngstown, NY 14174-9609 | 2010-10-05 |
| 1578516811 | Mark Herbst | Psychiatry & Neurology | 1891 Effie St, Los Angeles, CA 90026-1711 | 2006-05-18 |
| Street Address |
3900 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33711-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245335231 | Diana L Elias | Plastic Surgery | 3900 Central Ave, St Petersburg, FL 33711-1238 | 2006-09-14 |
| 1003187238 | Diana L. Elias, M.d., P.a. | Plastic Surgery | 3900 Central Ave, St Petersburg, FL 33711-1238 | 2012-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871919613 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 960 Monterey Pt Ne, St Petersburg, FL 33704-2319 | 2014-03-17 |
| 1750717500 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 131 Cordova Blvd Ne, St Petersburg, FL 33704-3011 | 2013-09-24 |
| 1407280126 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 117 Bay Point Dr Ne, St Petersburg, FL 33704-3805 | 2013-08-29 |
| 1265871917 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 1297 Eden Isle Dr Ne, St Petersburg, FL 33704-1709 | 2013-06-17 |
| 1558502039 | Nasser Razack., M.d., Pa. | Radiology | 5338 - 1st Avenue North, St Petersburg, FL 33710 | 2009-03-13 |
| 1215095401 | John D. Bartone | Radiology | 200 2nd Ave S, #504, St Petersburg, FL 33701-4313 | 2006-12-04 |
| 1013008713 | Richard A. Leverone | Radiology | 5136 Central Ave, St Petersburg, FL 33707 | 2006-09-27 |
| 1225141328 | Nasser Razack | Radiology | 335 31st Street South, St Petersburg, FL 33712-1419 | 2006-08-16 |
| 1477586014 | George Philip Ciporkin | Radiology | 475 2nd St N, Unit # 701, St Petersburg, FL 33701-3029 | 2006-07-08 |
| 1376585596 | Lori Keith Taylor | Radiology | 332 Belleair Dr Ne, St Petersburg, FL 33704-2437 | 2006-06-12 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33711 |
Please comment or provide details below to improve the information on DR. MARK DAVID HERBST.
| 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.