DR. MICHAEL A SCANNON (NPI# 1396734851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396734851 |
Entity Type | Individual |
Full Name | DR. MICHAEL A SCANNON |
Credential | M.D. |
Practice Address |
4200 N Armenia Ave Suite 1 Tampa FL 33607-6438 |
Practice Telephone | 8138774811 |
Practice Fax Number | 8138728978 |
Mailing Telephone | 8138774811 |
Mailing Fax Number | 8138728978 |
Enumeration Date | 2005-10-18 |
Last Update Date | 2019-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | ME29315 | FL | Allopathic & Osteopathic Physicians |
Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME00029315 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 372329100 | 05 |
Street Address |
4200 N ARMENIA AVE SUITE 1 |
City | TAMPA |
State | FL |
Zip Code | 33607-6438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053300723 | Sandra Lynn Snyder | Physician Assistant | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6438 | 2005-10-17 |
1477935757 | Molly England | Audiologist | 4200 N Armenia Ave, Suite 5, Tampa, FL 33607-6438 | 2015-06-23 |
1851706048 | Troy Lam | Oral & Maxillofacial Surgery | 4200 N Armenia Ave, Tampa, FL 33607-6438 | 2014-06-25 |
1093061582 | Florida Dermatology and Skin Cancer Specialists Pl | Dermatology | 4200 N Armenia Ave, Ste 1, Tampa, FL 33607-6438 | 2012-08-02 |
1649553587 | Jessica M Hage | Physician Assistant | 4200 N Armenia Ave, Suite 1-2, Tampa, FL 33607-6438 | 2011-09-27 |
1295969830 | Joshua R Mitchell | Otolaryngology | 4200 N Armenia Ave, Suite 5, Tampa, FL 33607-6438 | 2009-05-12 |
1780715649 | Arthur Forman Md Pa | Psychiatry & Neurology | 4200 N Armenia Ave, Suite 4, Tampa, FL 33607-6438 | 2007-03-09 |
1376688218 | Alan Barry Applebaum | Counselor | 4200 N Armenia Ave, Suite 4, Tampa, FL 33607-6438 | 2007-02-20 |
1679516728 | John Thompson Sullebarger | Internal Medicine | 4200 N Armenia Ave, Suite 5, Tampa, FL 33607-6438 | 2006-06-14 |
1770551202 | Carole Stone Mazzone | Nurse Practitioner | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6438 | 2006-03-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
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Taxonomy Code | 207NS0135X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Procedural Dermatology |
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336319045 | Miloslava Mician Md Pa | Dermatology | 3619 W Waters Ave, Tampa, FL 33614-2783 | 2008-03-10 |
1275625006 | Miloslava Souckova Mician | Dermatology | 3619 W Waters Avenue, Tampa, FL 33614 | 2006-09-29 |
1316204258 | Dirk W. R. Suringa M.d. P.a. | Dermatology | 508 S Habana Ave, Tampa, FL 33609-4181 | 2012-04-17 |
1174702989 | Peter A Donelan Md Pa | Dermatology | 3000 E Fletcher Ave, Suite 200, Tampa, FL 33613-4656 | 2007-10-29 |
1194854679 | Linda J Flynn | Dermatology | 2605 W Swann Ave, Suite #300, Tampa, FL 33609-4039 | 2007-03-02 |
1841267895 | Michael A. Scannon Md Pa | Dermatology | 4200 N Armenia Ave, Suite 1, Tampa, FL 33607-6438 | 2006-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013579002 | Alicia Nunez | Dermatology | 1000 W Broadway St Ste 206, Oviedo, FL 32765-9262 | 2019-07-01 |
1477114197 | Leslie Z Rohaidy | Dermatology | 55 Se 6th St Apt 3101, Miami, FL 33131-2570 | 2019-06-24 |
1376029579 | Gulfshore Dermatology At Coralwood, Pa | Dermatology | 326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909-2288 | 2018-07-11 |
1033639786 | Beautysmart Dermatology Clinic and Medical Spa LLC | Dermatology | 94 S Federal Hwy, Boca Raton, FL 33432-4825 | 2017-06-23 |
1215319793 | Orlando Skin Institute, LLC | Dermatology | 110 Pond Ct, Ste 301, Debary, FL 32713 | 2015-06-22 |
1336584960 | Devorah R Shagalov | Dermatology | 3850 Hollywood Blvd Ste 403, Hollywood, FL 33021-6746 | 2013-05-09 |
1871834606 | Geoffrey Michael Siegel | Dermatology | 478 Alamanda Dr, Hallandale Beach, FL 33009-6508 | 2013-03-04 |
1174852560 | Nautilus Health Care Group, LLC | Dermatology | 5220 Belfort Rd S, Ste 130, Jacksonville, FL 32256 | 2009-12-14 |
1447494885 | Matteo Taerri | Dermatology | 510 Howard Ct, Sarasota, FL 34236-5050 | 2009-04-29 |
1780852202 | Michael J. Rogers Md | Dermatology | 727 Us 27 S, Sebring, FL 33870-2169 | 2008-02-19 |
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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.