SETH B FORMAN (NPI# 1346304540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346304540 |
| Entity Type | Individual |
| Full Name | SETH B FORMAN |
| Credential | MD |
| Practice Address |
4915 Ehrlich Rd Tampa FL 33624-2038 |
| Mailing Address |
15416 N Florida Ave Tampa FL 33613-1244 |
| Practice Telephone | 8139602400 |
| Mailing Telephone | 8139604200 |
| Mailing Fax Number | 8139602410 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME96509 | FL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
ME96509 | FL | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME96509 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UNITED HC | 592235385 | 01 |
| FL | FL BLUE | 93048 | 01 |
| FL | CIGNA | 0013507 | 01 |
| FL | 010196800 | 05 | |
| FL | MULTIPLAN | 592235385 | 01 |
| FL | AETNA | 7110910 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15416 N Florida Ave, Tampa, FL 336131244 | 8139602400 | 8139602410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568439669 | Seth H Forman | Pediatrics | 46325 W 12 Mile Rd Ste 240, Novi, MI 48377-2462 | 2006-03-07 |
| Street Address |
4915 EHRLICH RD |
| City | TAMPA |
| State | FL |
| Zip Code | 33624-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932835 | Marla Crist Schenck | Nurse Practitioner | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2005-06-20 |
| 1477071538 | Julia Francesca Pizzurro | Nurse Practitioner | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2017-09-08 |
| 1902328404 | Avery Dinallo | Nurse Practitioner | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2017-07-17 |
| 1154705515 | Cynthia Spencer | Nurse Practitioner | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2015-07-16 |
| 1699084392 | Sandra Patricia Carpenter | Nurse Practitioner | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2010-09-28 |
| 1770743593 | Su Xu | Pathology | 4915 Ehrlich Rd, Tampa, FL 33624 | 2008-06-16 |
| 1033376371 | Maria Isabel Hicks | Dermatology | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2008-05-22 |
| 1134178114 | Healthpoint Medical Group Inc | Family Medicine | 4915 Ehrlich Rd, Tampa, FL 33624-2038 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617380 | Transforming Treasures LLC | Behavioral Analyst | 4810 Centerbrook Ct, Tampa, FL 33624 | 2020-07-30 |
| 1467097642 | Sherryl Lynn Johnson-hanna | Dietitian, Registered | 4904 Rambling Rose Place, Tampa, FL 33624 | 2019-11-12 |
| 1679125926 | Nurse Practitioner On The Go | In Home Supportive Care | 16411 Oak Manor Drive, Tampa, FL 33624 | 2019-07-16 |
| 1427547587 | Sylicia Marks | Counselor | 4105 Brentwood Park Cir, Tampa, FL 33624 | 2018-05-04 |
| 1407352917 | Shelley Von Hightower | Pharmacist | 5008 W. Linebaugh Ave, Suite 35, Tampa, FL 33624 | 2018-04-03 |
| 1972002178 | Zachary Winterberg | Specialist/Technologist | 3821 Northgreen Ave Apt 1407, Tampa, FL 33624 | 2018-02-03 |
| 1013423268 | Beyond Care Home Health LLC | Home Health | 3903 Northdale Bvld, 100e, Tampa, FL 33624 | 2017-12-26 |
| 1285148841 | Gary Donald Kociszewski Jr. | Behavior Technician | 4920 Traskwood Ct, Tampa, FL 33624 | 2017-11-18 |
| 1932611944 | Valerie Lauren Martinez | Behavior Technician | 14039 Wolcott Dr, Tampa, FL 33624 | 2017-10-31 |
| 1073038287 | Mesfin T Araya | Non-emergency Medical Transport (VAN) | 4403 Akita Dr, Tampa, FL 33624 | 2017-08-09 |
| Find all providers in zip 33624 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1578927596 | Lombardi Institute of Dermatology | Dermatology | 602 S Audubon Ave Ste B, Tampa, FL 33609-4217 | 2016-04-06 |
| 1275909806 | Dermatology Network of Florida, LLC | Dermatology | 8320 W Hillsborough Ave, Ste B, Tampa, FL 33615-3824 | 2015-08-18 |
| 1225424740 | Lisa Marie Diaz | Dermatology | 17401 Commerce Park Blvd Ste 104, Tampa, FL 33647-3507 | 2015-04-10 |
| 1053702134 | Robert R. Tawil | Dermatology | 3741 W Neptune St, Tampa, FL 33629-5118 | 2015-02-11 |
| 1013317460 | Scott Forrester Lindsey | Dermatology | 310 S. Macdill Ave., Suite 201, Tampa, FL 33609 | 2014-09-03 |
| 1619317575 | Jonathan Lopez | Dermatology | 2727 W Dr Mlk Blvd Ste 570, Tampa, FL 33607-6009 | 2013-06-25 |
| 1619151479 | C Lance Kane Md Pa | Dermatology | 505 S Habana Ave, Tampa, FL 33609 | 2007-12-28 |
| 1730362112 | Amanda Brooke Sergay | Dermatology | 310 S Macdill Ave, Tampa, FL 33609-3142 | 2007-12-09 |
| 1649362112 | Gisela Torres-bonilla | Dermatology | 4700 N Habana Ave Ste 303, Tampa, FL 33614-7118 | 2006-09-29 |
| 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.