SEUNG JIN YI (NPI# 1235367483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235367483 |
Entity Type | Individual |
Full Name | SEUNG JIN YI |
Credential | M.D. |
Practice Address |
6117 Gunn Hwy Tampa FL 33625-4013 |
Mailing Address |
13020 N Telecom Pkwy Temple Terrace FL 33637-0925 |
Practice Telephone | 8139789700 |
Practice Fax Number | 8135586187 |
Mailing Telephone | 8139789700 |
Enumeration Date | 2009-06-26 |
Last Update Date | 2019-10-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME123493 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 014890300 | 05 | |
FL | FLORIDA BLUE | 150W5 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366967481 | Seung Hui Yi | Dentist | 5658 Sepulveda Blvd Ste 204, Van Nuys, CA 91411-2927 | 2017-08-09 |
1124184973 | Seung John Yi | Radiology | L6 Omega Dr, Newark, DE 19713-2077 | 2006-12-28 |
Street Address |
6117 GUNN HWY |
City | TAMPA |
State | FL |
Zip Code | 33625-4013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285639021 | Heather L Lacross | Nurse Practitioner | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2005-06-17 |
1699286492 | Andrew Tharaldson | Physical Therapy Assistant | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2017-10-19 |
1982155362 | Musculoskeletal Institute Chartered | Clinic/Center | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2016-10-20 |
1447636006 | Mark Ramirez | Physical Therapy Assistant | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2015-08-06 |
1215321062 | Lynsey Marie Dawson | Specialist/Technologist | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2015-03-18 |
1992139273 | Musculoskeletal Institute Chartered | Physical Therapist | 6117 Gunn Hwy, Tampa, FL 33625 | 2013-08-22 |
1245540632 | Colin D Agerton | Physician Assistant | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2010-10-19 |
1114241213 | Jeffrey A Westerfield | Family Medicine | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2010-03-17 |
1417108374 | Jason A Nydick | Orthopaedic Surgery | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2008-10-08 |
1275796765 | Timothy Charles Epting | Orthopaedic Surgery | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2008-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790316222 | Kyle Raymond Schindler | Physical Therapist | 12891 Citrus Park Dr, Tampa, FL 33625 | 2020-02-03 |
1558923771 | Rose Alexis | Nurse Practitioner | 5357 Enrlich Road, Tampa, FL 33625 | 2019-07-08 |
1831655380 | Tampa Family Health Centers, Inc | Clinic/Center | 12085 W. Hillsborough Ave., Tampa, FL 33625 | 2019-02-20 |
1083067664 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 6930 Gunn Hwy, Tampa, FL 33625 | 2016-07-19 |
1285012773 | Be Bellus Med Spa | Clinic/Center | 6914 W Linebaugh Ave, Suite 102, Tampa, FL 33625 | 2015-05-15 |
1649519877 | Brenda Lee Figueroa | Nurse Practitioner | 6702 West Linebaugh Ave., Tampa, FL 33625 | 2013-02-07 |
1639424930 | Sheriece Sadberry | Psychologist | 6922 W Linebaugh Ave Ste 101c, Tampa, FL 33625 | 2012-07-23 |
1619244191 | Mariana Velandia | Counselor | 12819 Pacifica Pl, Tampa, FL 33625 | 2011-11-28 |
1245507003 | Oleston Chiropractic, P.a. | Chiropractor | 6575 Gunn Hwy, Tampa, FL 33625 | 2011-11-22 |
1891074027 | Christine M Klocek | Behavioral Analyst | 6543 Gunn Highway, Tampa, FL 33625 | 2011-08-05 |
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Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194874560 | Chester Joseph Janecki | Orthopaedic Surgery | 4221 N Himes Ave, Tampa, FL 33607-6229 | 2007-01-08 |
1073627154 | Kathleen Allison Buran | Orthopaedic Surgery | 6322 Gunn Highway, Tampa, FL 33625 | 2006-08-18 |
1013936756 | Charles Barry Craythorne | Orthopaedic Surgery | 613 S Magnolia Ave Ste 1, Tampa, FL 33606-2767 | 2006-07-19 |
1679943971 | Hutchison Sports Medicine & Orthopedics LLC | Orthopaedic Surgery | 6918 Gunn Hwy, Suite C, Tampa, FL 33625-3853 | 2015-09-29 |
1992884142 | Brian A Mcgraw | Orthopaedic Surgery | 3450 E Fletcher Ave Ste 350, Tampa, FL 33613-4699 | 2006-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801401021 | Ortho Florida, LLC | Orthopaedic Surgery | 17425 7th St Ste 560174, Montverde, FL 34756-3206 | 2020-09-14 |
1801429022 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Creek Rd Ste 202, Ft Lauderdale, FL 33309-1858 | 2020-02-17 |
1750913141 | Tyrance Orthopedics and Sports Medicine | Orthopaedic Surgery | 1620 S Congress Ave Ste 201, Palm Springs, FL 33461-2128 | 2020-02-04 |
1255979076 | Ortho Florida, LLC | Orthopaedic Surgery | 2122 W Cypress Crk Rd Ste 202, Fort Lauderdale, FL 33309-1858 | 2019-12-11 |
1730740218 | Baptist Physician Group LLC | Orthopaedic Surgery | 133 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1644 | 2019-06-25 |
1164984720 | Ortho Florida, LLC | Orthopaedic Surgery | 21097 Ne 27th Ct Ste 590, Aventura, FL 33180-1246 | 2019-04-03 |
1578043998 | Bahri Orthopedics Institute | Orthopaedic Surgery | 6100 Kennerly Rd Ste 202, Jacksonville, FL 32216-4379 | 2018-08-15 |
1154834489 | Dorothy Richardson | Orthopaedic Surgery | 1120 W Lakeshore Dr, Clermont, FL 34711-2936 | 2017-11-08 |
1225541790 | Ortho Florida, LLC | Orthopaedic Surgery | 3702 Washington St Ste 202, Hollywood, FL 33021-8283 | 2017-11-07 |
1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
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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.