BARTOW HMA PHYSICIAN MANAGEMENT LLC


Address: 3644 Innovation Dr, Lakeland, FL 33812-4105
Phone: 8637012053

BARTOW HMA PHYSICIAN MANAGEMENT LLC (NPI# 1275896664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275896664
Entity Type Organization
Organization Name BARTOW HMA PHYSICIAN MANAGEMENT LLC
Other Organization Name ELITE SURGICAL ASSOCIATES
Practice Address 3644 Innovation Dr
Lakeland
FL 33812-4105
Mailing Address 5811 Pelican Bay Blvd
Suite 500
Naples
FL 34108-2733
Practice Telephone 8637012053
Practice Fax Number 8636465834
Mailing Telephone 2395983131
Mailing Fax Number 2395920438
Enumeration Date 2012-06-20
Last Update Date 2012-11-26
Authorized Official Name MR. MICHAEL L GINGRAS (VICE PRESIDENT)
Authorized Official Telephone 2395983131
Is Organization Subpart Y
Parent Organization Name HEALTH MANAGEMENT ASSOCIATES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Elite Surgical Associates Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609172733 Bartow Hma Physician Management LLC Surgery 3644 Innovation Dr, Lakeland, FL 33812-4105 2011-02-08

Office Location

Street Address 3644 INNOVATION DR
City LAKELAND
State FL
Zip Code 33812-4105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275622995 Bartow Hma Physician Management, LLC Surgery 3644 Innovation Dr, Lakeland, FL 33812-4105 2006-10-12
1609172733 Bartow Hma Physician Management LLC Surgery 3644 Innovation Dr, Lakeland, FL 33812-4105 2011-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891036976 Arlene Nitza Hunt Counselor 5421 Us Highway 98 S, Lakeland, FL 33812 2013-03-14
1952648867 Christopher Benka Pharmacist 5185 Us Highway 98 S, Lakeland, FL 33812 2013-01-11
1407105083 Elena Kan Dentist 5644 Vintage View Boulevard, Lakeland, FL 33812 2012-08-29
1760611412 Blanca Lilia Fernandez Dentist 5163 Us Highway 98 S, Lakeland, FL 33812 2009-07-02
1033314190 Gustavo Alberto De Jesus-gomez Surgery 5907 Hillside Heights Dr., Lakeland, FL 33812 2007-06-19
1760600142 Internal Medicine Specialists Medical Group Pa Internal Medicine 3655 Innovation Dr, Lakeland, FL 33812 2007-04-23
1124171475 Sports and Orthopedic Rehabilitation Services Inc Clinic/Center 5155 Us Highway 98 South, Suites 5b&5c, Lakeland, FL 33812 2007-01-19
1356322234 Carlos M Romero Family Medicine 3655 Innovation Drive, Lakeland, FL 33812 2005-11-08
1427055318 Roxann Castelli Cook Family Medicine 2803 Meridian Point Lane, Lakeland, FL 33812 2005-07-07
1316577513 Ashley Joanne Reckord Counselor 5421 Us Highway 98 S, Lakeland, FL 33812 2020-01-16
Find all providers in zip 33812

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548601057 Allan Cabrera Tiro Surgery 1721 Via Lago Dr, Lakeland, FL 33810-2371 2013-07-12
1043532377 Toan Thien Nguyen Surgery 3525 Lakeland Hills Blvd # D, Lakeland, FL 33805-1965 2010-03-01
1588845119 Cecilia Franke Wang Surgery 1629 Lakeland Hills Blvd., Lakeland, FL 33805 2007-11-26
1114127560 Diana A Burgueno Vega Surgery 130 Pablo Street, Lakeland, FL 33803 2007-07-24
1033314190 Gustavo Alberto De Jesus-gomez Surgery 5907 Hillside Heights Dr., Lakeland, FL 33812 2007-06-19
1306059092 Juan Barrios Surgery 3030 Harden Blvd Ste 108, Wound Care Center, Lakeland, FL 33803-7973 2007-05-08
1104980812 Derrick J Martin Sr. Surgery 3003 S Florida Ave Ste 101, Lakeland, FL 33803-4050 2006-12-20
1275622995 Bartow Hma Physician Management, LLC Surgery 3644 Innovation Dr, Lakeland, FL 33812-4105 2006-10-12
1831161793 Elisabeth Lynn Dupont Surgery 1420 Lakeland Hills Blvd, Women's Center Bldg B, Lakeland, FL 33805-3202 2006-02-06
1033105176 Philip K. Thomas Surgery 4428 Sugartree Dr E, Lakeland, FL 33813-1861 2005-09-23
Find all providers in LAKELAND

Competitor

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City LAKELAND
Zip Code 33812

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Dataset Information

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.

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