JASON A NYDICK (NPI# 1417108374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417108374 |
Entity Type | Individual |
Full Name | JASON A NYDICK |
Credential | D.O. |
Practice Address |
6117 Gunn Hwy Tampa FL 33625-4013 |
Mailing Address |
13020 N Telecom Pkwy Temple Terrace FL 33637-0925 |
Practice Telephone | 8139789700 |
Practice Fax Number | 8135586173 |
Mailing Telephone | 8139789700 |
Enumeration Date | 2008-10-08 |
Last Update Date | 2020-01-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | OS10894 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | AETNA | 3357461 | 01 |
FL | BC/BS | 1485V | 01 |
FL | AVMED | PENDING | 01 |
FL | 002462300 | 05 | |
FL | CIGNA | 3357461 | 01 |
Street Address |
6117 GUNN HWY |
City | TAMPA |
State | FL |
Zip Code | 33625-4013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285639021 | Heather L Lacross | Nurse Practitioner | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2005-06-17 |
1699286492 | Andrew Tharaldson | Physical Therapy Assistant | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2017-10-19 |
1982155362 | Musculoskeletal Institute Chartered | Clinic/Center | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2016-10-20 |
1447636006 | Mark Ramirez | Physical Therapy Assistant | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2015-08-06 |
1215321062 | Lynsey Marie Dawson | Specialist/Technologist | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2015-03-18 |
1992139273 | Musculoskeletal Institute Chartered | Physical Therapist | 6117 Gunn Hwy, Tampa, FL 33625 | 2013-08-22 |
1245540632 | Colin D Agerton | Physician Assistant | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2010-10-19 |
1114241213 | Jeffrey A Westerfield | Family Medicine | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2010-03-17 |
1235367483 | Seung Jin Yi | Orthopaedic Surgery | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2009-06-26 |
1275796765 | Timothy Charles Epting | Orthopaedic Surgery | 6117 Gunn Hwy, Tampa, FL 33625-4013 | 2008-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790316222 | Kyle Raymond Schindler | Physical Therapist | 12891 Citrus Park Dr, Tampa, FL 33625 | 2020-02-03 |
1558923771 | Rose Alexis | Nurse Practitioner | 5357 Enrlich Road, Tampa, FL 33625 | 2019-07-08 |
1831655380 | Tampa Family Health Centers, Inc | Clinic/Center | 12085 W. Hillsborough Ave., Tampa, FL 33625 | 2019-02-20 |
1083067664 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 6930 Gunn Hwy, Tampa, FL 33625 | 2016-07-19 |
1285012773 | Be Bellus Med Spa | Clinic/Center | 6914 W Linebaugh Ave, Suite 102, Tampa, FL 33625 | 2015-05-15 |
1649519877 | Brenda Lee Figueroa | Nurse Practitioner | 6702 West Linebaugh Ave., Tampa, FL 33625 | 2013-02-07 |
1639424930 | Sheriece Sadberry | Psychologist | 6922 W Linebaugh Ave Ste 101c, Tampa, FL 33625 | 2012-07-23 |
1619244191 | Mariana Velandia | Counselor | 12819 Pacifica Pl, Tampa, FL 33625 | 2011-11-28 |
1245507003 | Oleston Chiropractic, P.a. | Chiropractor | 6575 Gunn Hwy, Tampa, FL 33625 | 2011-11-22 |
1891074027 | Christine M Klocek | Behavioral Analyst | 6543 Gunn Highway, Tampa, FL 33625 | 2011-08-05 |
Find all providers in zip 33625 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497239743 | Orthopedic Assoc of Tampa Bay LLC | Orthopaedic Surgery | 4505 N. Armenia Ave, Suite 102, Tampa, FL 33603-2746 | 2018-09-23 |
1417451873 | Tampa Bay Orthopedic Surgery Group | Orthopaedic Surgery | 1100 W Kennedy Blvd, Tampa, FL 33606-1966 | 2018-03-21 |
1407212293 | Vincent Michael Tedone | Orthopaedic Surgery | 11303 Carrollwood Dr, Tampa, FL 33618-3703 | 2016-01-08 |
1316360456 | David Mayhew | Orthopaedic Surgery | 13739 Chestersall Dr, Tampa, FL 33624-6944 | 2014-01-24 |
1285976654 | Sean Michael Lannon | Orthopaedic Surgery | 14547 Bruce B Downs Blvd Ste C, Tampa, FL 33613-2709 | 2013-03-22 |
1538420864 | Lutz Heinz Schlicke | Orthopaedic Surgery | 582 Riviera Dr, Tampa, FL 33606 | 2012-06-04 |
1417251034 | Steven Knezevich, M.d., P.a. | Orthopaedic Surgery | 3820 Northdale Blvd., Suite 105a, Tampa, FL 33624-1834 | 2010-12-23 |
1538322383 | Shaun Michael Felcher | Orthopaedic Surgery | 3250 Zemke Ave # 1078, Tampa, FL 33621-5023 | 2008-07-02 |
1376743252 | Gene Jason Hunt | Orthopaedic Surgery | 4450 E Fletcher Ave Ste C, Tampa, FL 33613-4907 | 2007-07-19 |
1497887111 | Frank Kenneth Kriz Jr. | Orthopaedic Surgery | 800 W Dr M L King Blvd, Suite 1, Tampa, FL 33603 | 2007-03-09 |
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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.