DR. MARK NICHOLAS PERENICH


Address: 6918 Gunn Hwy Ste C, Tampa, FL 33625-3853
Phone: 8138030029

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICAL LICENSE OS14036 01
FL BLUE CROSS VJSQK 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
4700 N Habana Ave Ste 505, Tampa, FL 336147120 8138030029 8139498919

Office Location

Street Address 6918 GUNN HWY STE C
City TAMPA
State FL
Zip Code 33625-3853

Providers in the same location

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

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 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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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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