DR. JAMES ETHERIDGE (NPI# 1629170535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629170535 |
| Entity Type | Individual |
| Full Name | DR. JAMES ETHERIDGE |
| Credential | M.D. |
| Practice Address |
17718 Esprit Dr Tampa FL 33647-2507 |
| Practice Telephone | 8139910012 |
| Mailing Telephone | 8139910012 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME54879 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235635145 | James Etheridge | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2018-04-02 |
| 1609307941 | James Scott Etheridge | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2017-03-27 |
| Street Address |
17718 ESPRIT DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124468632 | Raul E. Fernandez-crespo | Urology | 2 Tampa General Circle, Stc6, Department of Urology, Tampa, FL 33606 | 2013-06-28 |
| 1013208057 | Mohit Sirohi | Urology | 1 Davis Blvd., #604, Tampa, FL 33606 | 2011-04-25 |
| 1669481628 | Raoul Radu Salup | Urology | 13000 Bruce B Downs Boulevard, James A. Haley Veterans Hospital, Tampa, FL 33612 | 2006-08-07 |
| 1003840091 | New Tampa Urology P A | Urology | 5332 Primrose Lake Cir, Tampa, FL 33647-3589 | 2006-07-10 |
| 1588695894 | Rafael E Carrion | Urology | 2 Tampa General Circle, Stc 5th Floor, Tampa, FL 33606-3603 | 2006-07-05 |
| 1205872710 | Tampa Urology Pa | Urology | 1209 W Swann Ave, Tampa, FL 33606-2639 | 2006-06-22 |
| 1245275692 | Leffie Mahon Carlton IIi | Urology | 602 S Audubon Street, Tampa, FL 33609 | 2006-06-19 |
| 1043269970 | Tod Joseph Fusia | Urology | 2822 W Virginia Ave, Tampa, FL 33607-6330 | 2006-05-08 |
| 1760457220 | Novelle Dt Kirwan | Urology | 4801 N Howard Ave, Tampa, FL 33603-1411 | 2006-02-20 |
| 1225593148 | Logan Wright Zemp | Urology | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2019-02-05 |
| 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.