MARVIN SPONAUGLE (NPI# 1396798922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396798922 |
| Entity Type | Individual |
| Full Name | MARVIN SPONAUGLE |
| Credential | MD |
| Practice Address |
14547 Bruce B Downs Blvd Tampa FL 33613-2709 |
| Mailing Address |
Po Box 862362 Orlando FL 32886-2362 |
| Practice Telephone | 3528678898 |
| Practice Fax Number | 3527326282 |
| Mailing Telephone | 3528678898 |
| Mailing Fax Number | 3527326282 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME0045587 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 62590 | 01 |
| FL | 045458300 | 05 | |
| FL | RAILROAD MEDICARE | 050011223 | 01 |
| Street Address |
14547 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538156591 | Wendy Ann Whitford | Nurse Anesthetist, Certified Registered | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2005-10-04 |
| 1972020527 | Boris Borissov | Nurse Practitioner | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2017-08-24 |
| 1740667187 | Florida Medical Clinic, LLC | Clinic/Center | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2015-05-06 |
| 1902295009 | North Pinellas Anesthesia Asscoiates Pa | Anesthesiology | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2015-01-13 |
| 1639575079 | Brittany Loringer | Physician Assistant | 14547 Bruce B Downs Blvd, Ste. C, Tampa, FL 33613-2709 | 2014-11-12 |
| 1861732182 | Sherdene Barrett | Nurse Practitioner | 14547 Bruce B Downs Blvd, Ste D, Tampa, FL 33613-2709 | 2013-02-22 |
| 1548518780 | Christopher R Smith | Physician Assistant | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2012-08-20 |
| 1154610616 | Florida Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2011-04-05 |
| 1720385438 | Kimberly Myers Cudzil | Nurse Practitioner | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2011-02-15 |
| 1659535789 | Josh Gilliam | Physician Assistant | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2008-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346886033 | Spine and Orthopedic Specialists of Tampa, LLC | Anesthesiology | 6919 N Dale Mabry Hwy Ste 325, Tampa, FL 33614-3860 | 2019-11-18 |
| 1023496452 | Acute Pain Speciialists LLC | Anesthesiology | 13301 W Hillsborough Ave, Suite 201, Tampa, FL 33635-9676 | 2015-05-18 |
| 1578804407 | Universal Pain Specialists Inc | Anesthesiology | 8318 North Habana Avenue, Tampa, FL 33614 | 2013-03-01 |
| 1508101296 | Tampa Interventional Spine Physicians LLC | Anesthesiology | 1000 W Kennedy Blvd, Suite 201, Tampa, FL 33606-1940 | 2012-12-06 |
| 1760780985 | Npr Anesthesia Services, LLC | Anesthesiology | 5501 W Gray St, Tampa, FL 33609-1007 | 2011-03-11 |
| 1548588916 | Muhammad Atallah | Anesthesiology | 3869 S. Lake Dr., 146, Tampa, FL 33614 | 2010-05-11 |
| 1053647545 | American Well Care, Inc. | Anesthesiology | 6802 N. Armenia Ave, Tampa, FL 33604 | 2009-10-19 |
| 1376618470 | Stanley Robert Dennison Jr. | Anesthesiology | 1921 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6509 | 2006-11-22 |
| 1861582249 | Edward Norman | Anesthesiology | 7171 N. Dale Mabry Highway, Tampa, FL 33614-2670 | 2006-10-13 |
| 1235227026 | Pain Institute of Tampa Bay Plc | Anesthesiology | 15303 Amberly Dr Ste A, Tampa, FL 33647-2308 | 2006-10-10 |
| 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.