COLBY CLARK (NPI# 1538351465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538351465 |
| Entity Type | Individual |
| Full Name | COLBY CLARK |
| Credential | M.D. |
| Practice Address |
14547 Bruce B Downs Blvd Suite B Tampa FL 33613-2709 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8132807676 |
| Practice Fax Number | 8133555098 |
| Mailing Telephone | 8135284975 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2016-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME108613 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | R&R MEDICARE | P01680671 | 01 |
| Street Address |
14547 BRUCE B DOWNS BLVD SUITE B |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538156591 | Wendy Ann Whitford | Nurse Anesthetist, Certified Registered | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2005-10-04 |
| 1972020527 | Boris Borissov | Nurse Practitioner | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2017-08-24 |
| 1740667187 | Florida Medical Clinic, LLC | Clinic/Center | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2015-05-06 |
| 1902295009 | North Pinellas Anesthesia Asscoiates Pa | Anesthesiology | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2015-01-13 |
| 1639575079 | Brittany Loringer | Physician Assistant | 14547 Bruce B Downs Blvd, Ste. C, Tampa, FL 33613-2709 | 2014-11-12 |
| 1861732182 | Sherdene Barrett | Nurse Practitioner | 14547 Bruce B Downs Blvd, Ste D, Tampa, FL 33613-2709 | 2013-02-22 |
| 1548518780 | Christopher R Smith | Physician Assistant | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2012-08-20 |
| 1154610616 | Florida Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2011-04-05 |
| 1720385438 | Kimberly Myers Cudzil | Nurse Practitioner | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2011-02-15 |
| 1659535789 | Josh Gilliam | Physician Assistant | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2008-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601768 | Ked Medical, P.a. | Surgery | 3001 N Rocky Point Dr E Ste 100, Tampa, FL 33607-5860 | 2020-05-26 |
| 1164941639 | J.f. Garcia Md Surgical and Wound Care Services LLC | Surgery | 2123 W Martin Luther King Blvd., Suite 101, Tampa, FL 33607 | 2017-09-15 |
| 1770014755 | Augustine Reid Wilson | Surgery | 4015 Bayshore Blvd Apt 3c, Tampa, FL 33611-1700 | 2017-03-22 |
| 1992191142 | Daniel Hall | Surgery | 1 Tampa General Cir Rm G417, Tampa, FL 33606-3571 | 2015-04-14 |
| 1124434485 | Joseph Sujka | Surgery | Harbourside Medical Tower, Suite 740.15, 5 Tampa General Circle, Tampa, FL 33606 | 2014-07-08 |
| 1235544677 | Carolina Martinez | Surgery | 5 Tampa General Cir Ste 740, Tampa, FL 33606-3601 | 2014-06-24 |
| 1205193760 | Anthony Dinallo | Surgery | 109 W Fortune St # 1525, Tampa, FL 33602 | 2012-04-20 |
| 1265723944 | Bradley Cameron Stephan | Surgery | 105 S Macdill Ave Ste 202, Tampa, FL 33609-3490 | 2011-04-28 |
| 1346550720 | James A Christensen Md Pa | Surgery | 4600 North Habana Avenue, Suite 21, Tampa, FL 33614 | 2010-10-19 |
| 1295051134 | Rosebel Monteiro | Surgery | 602 S Audubon Ave Ste A, Tampa, FL 33609-4217 | 2010-04-16 |
| 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.