AVID HEALTH PLANS LLC (NPI# 1629397773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629397773 |
| Entity Type | Organization |
| Organization Name | AVID HEALTH PLANS LLC |
| Other Organization Name | AVID HEALTH PLANS |
| Practice Address |
10549 N Florida Ave Ste L Tampa FL 33612-6707 |
| Mailing Address |
Po Box 17175 Tampa FL 33682-7175 |
| Practice Telephone | 8133414001 |
| Practice Fax Number | 8133414004 |
| Mailing Telephone | 8133414001 |
| Mailing Fax Number | 8133414004 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2020-06-28 |
| Authorized Official Name | STEPHEN O BANJOKO (CFO) |
| Authorized Official Telephone | 2122570225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| AVID HEALTH PLANS | Doing Business As Name - Organization |
| SHILOH MEDICAL GROUP | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10549 N Florida Ave Ste J, Tampa, FL 336126707 | 8133414000 | 8143414004 |
| Street Address |
10549 N FLORIDA AVE STE L |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-6707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659654911 | Avid Health LLC | Home Health | 10549 N Florida Ave Ste L, Tampa, FL 33612-6707 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980433 | Liberty Dental Plan of Florida, Inc. | Health Maintenance Organization | 7870 Woodlnd Ctr Blvd, Tampa, FL 33614-2409 | 2018-08-06 |
| 1366920498 | Liberty Dental Plan of Florida, Inc. | Health Maintenance Organization | 7870 Woodland Center Blvd, Tampa, FL 33614-2409 | 2018-07-31 |
| 1851741763 | Other Practice | Health Maintenance Organization | 714 W Dr Martin Luther King Jr Blvd, Tampa, FL 33603-3104 | 2016-06-21 |
| 1316318363 | Optimum Healthcare Inc. | Health Maintenance Organization | 5403 N Church Ave, Tampa, FL 33614-5611 | 2015-10-16 |
| 1881021673 | Elizabeth Rocha | Health Maintenance Organization | 9510 Sunbelt St, Unit 306, Tampa, FL 33635-6004 | 2013-10-11 |
| 1437586872 | Mlmg of Florida | Health Maintenance Organization | 16578 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2013-10-01 |
| 1477835221 | P V C Medical Center, Inc. | Health Maintenance Organization | 5011 W Hillsborough Ave, Suite N, Tampa, FL 33634-5309 | 2011-09-16 |
| 1700165982 | Key Health Plans, Inc. | Health Maintenance Organization | 5440 Mariner St, Suite 110, Building 9, Tampa, FL 33609-3446 | 2011-08-05 |
| 1134428089 | Tampa Massage Rehab Services | Health Maintenance Organization | 4523 Dreisler St, Tampa, FL 33634-7317 | 2011-03-17 |
| 1942467212 | Wellcare of Florida, Inc. | Health Maintenance Organization | 3031 N. Rocky Point Drive W., Suite 600, Tampa, FL 33607 | 2008-05-22 |
| 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.