JASON A NYDICK


Address: 6117 Gunn Hwy, Tampa, FL 33625-4013
Phone: 8139789700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery OS10894 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 6117 GUNN HWY
City TAMPA
State FL
Zip Code 33625-4013

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in TAMPA

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City TAMPA
Zip Code 33625

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Dataset Information

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.

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