DR. MARK NICHOLAS PERENICH (NPI# 1497060487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497060487 |
| Entity Type | Individual |
| Full Name | DR. MARK NICHOLAS PERENICH |
| Credential | D.O. |
| Practice Address |
6918 Gunn Hwy Ste C Tampa FL 33625-3853 |
| Mailing Address |
6918 Gunn Hwy Ste C Tampa FL 33625-3800 |
| Practice Telephone | 8138030029 |
| Mailing Telephone | 8138030029 |
| Mailing Fax Number | 8139498919 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
OS14036 | FL | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Q3421 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | OS14036 | 01 |
| FL | BLUE CROSS | VJSQK | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 N Habana Ave Ste 505, Tampa, FL 336147120 | 8138030029 | 8139498919 |
| Street Address |
6918 GUNN HWY STE C |
| City | TAMPA |
| State | FL |
| Zip Code | 33625-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992786776 | Kevin L Scott | Orthopaedic Surgery | 6918 Gunn Hwy Ste C, Tampa, FL 33625 | 2005-11-09 |
| 1790310167 | Ashley Perenich | Student in an Organized Health Care Education/Training Program | 6918 Gunn Hwy Ste C, Tampa, FL 33625-3800 | 2020-03-06 |
| 1154875284 | Tampa Back Institute Pllc | Orthopaedic Surgery | 6918 Gunn Hwy Ste C, Tampa, FL 33625-3853 | 2016-08-05 |
| 1053635870 | Scott Sports Med, LLC | Orthopaedic Surgery | 6918 Gunn Hwy Ste C, Tampa, FL 33625-3800 | 2010-03-23 |
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376079848 | Farhan Siddiqi, Md Pa | Orthopaedic Surgery | 701 N West Shore Blvd, Tampa, FL 33609-1122 | 2017-05-03 |
| 1881022903 | Spine Specialists of America LLC | Orthopaedic Surgery | 13035 W Linebaugh Ave Ste 101f, Tampa, FL 33626-4481 | 2013-10-29 |
| 1700100179 | Westchase Sports Medicine Orthopaedics, LLC. | Orthopaedic Surgery | 11301 Countryway Blvd, Tampa, FL 33626-2610 | 2010-03-15 |
| 1851453609 | Robbert C Nucci | Orthopaedic Surgery | 6322 Gunn Hwy, Tampa, FL 33625-4122 | 2006-12-15 |
| 1972062685 | 360 Ortho and Spine LLC | Orthopaedic Surgery | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2019-03-13 |
| 1154875284 | Tampa Back Institute Pllc | Orthopaedic Surgery | 6918 Gunn Hwy Ste C, Tampa, FL 33625-3853 | 2016-08-05 |
| 1194173260 | Joseph Spine, Pa | Orthopaedic Surgery | 2727 W Mlk Blvd, Ste 590, Tampa, FL 33607-6383 | 2016-05-31 |
| 1225434293 | National Medical Practices of Florida Pllc | Orthopaedic Surgery | 4730 N Habana Ave, Suite 300, Tampa, FL 33614-7163 | 2014-11-18 |
| 1013334655 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-20 |
| 1225454283 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-13 |
| 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.