PEDIATRIC & ADOLESCENT HEALTH ASSOCIATES, LLC (NPI# 1407250996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407250996 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC & ADOLESCENT HEALTH ASSOCIATES, LLC |
| Practice Address |
3709 W Hamilton Ave Ste 4 Tampa FL 33614-4015 |
| Mailing Address |
Po Box 270663 Tampa FL 33688-0663 |
| Practice Telephone | 8135157988 |
| Mailing Telephone | 8135157988 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2015-09-18 |
| Authorized Official Name | DR. TABASSUM SHAMIM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8608748374 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME115364 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010853700 | 05 |
| Street Address |
3709 W HAMILTON AVE STE 4 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474592 | Leonard Manuel Lopez De La Torre | Massage Therapist | 3709 W Hamilton Ave Ste 4, Tampa, FL 33614-4015 | 2019-08-28 |
| 1922651314 | Treat & Release Ctr Inc | Clinic/Center | 3709 W Hamilton Ave Ste 4, Tampa, FL 33614-4015 | 2019-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1619498581 | Roger Avon Hughes IIi | Pediatrics | 4444 E Fletcher Ave Ste C, Tampa, FL 33613-4905 | 2017-06-30 |
| 1386178739 | The Childrens Doctor of Tampabay, Jacquelin Eniebles Md, Pllc | Pediatrics | 14499 North Dale Mabry Hwy, Suite 180-s, Tampa, FL 34683 | 2017-04-12 |
| 1962933598 | Shaara Katherine Barron | Pediatrics | 17 Davis Blvd # 259-8725, Suite 308, Tampa, FL 33606-3475 | 2017-03-24 |
| 1194106203 | Luisa Gomez Mcelroy Md Pl | Pediatrics | 10860 Sheldon Rd, Tampa, FL 33626-5117 | 2015-06-15 |
| 1467857268 | Children Health Center | Pediatrics | 11464 N 53rd St, Tampa, FL 33617-2216 | 2014-10-23 |
| 1215268370 | Barbara Anne Nabrit-stephens | Pediatrics | 4704 Dunnie Dr, Tampa, FL 33614-1496 | 2010-01-28 |
| 1467685693 | Anecita Tan-donahue | Pediatrics | 13610 South Village Drive, Unit #312, Tampa, FL 33618 | 2009-09-04 |
| 1134363542 | Juliet Soscia Collins | Pediatrics | 10909 W. Linebaugh Avenue, Suite 100, Tampa, FL 33626-1741 | 2009-04-29 |
| 1164684510 | Julie Shamma | Pediatrics | 3001 W. Dr. Mlk. Jr. Blvd., Tampa, FL 33607 | 2008-06-26 |
| 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.