AVAHEALTH, INC. (NPI# 1639458821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639458821 |
| Entity Type | Organization |
| Organization Name | AVAHEALTH, INC. |
| Other Organization Name | KEY INSURANCE PLAN |
| Practice Address |
5440 Mariner St Suite 110, Building 9 Tampa FL 33609-3446 |
| Practice Telephone | 8138685959 |
| Practice Fax Number | 8132888520 |
| Mailing Telephone | 8138685959 |
| Mailing Fax Number | 8132888520 |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |
| Authorized Official Name | DR. BRUCE FRIEMAN (CEO) |
| Authorized Official Telephone | 8138685959 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 11-========= | FL | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| KEY INSURANCE PLAN | Doing Business As Name - Organization |
| Street Address |
5440 MARINER ST SUITE 110, BUILDING 9 |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700165982 | Key Health Plans, Inc. | Health Maintenance Organization | 5440 Mariner St, Suite 110, Building 9, Tampa, FL 33609-3446 | 2011-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "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. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861840654 | Tlc Pediatric Dentistry, Inc. | Preferred Provider Organization | 3223 S Dale Mabry Hwy, Tampa, FL 33629-7815 | 2016-06-02 |
| 1780083501 | Juan F. Prado D.d.s. P.a. | Preferred Provider Organization | 13301 N Dale Mabry Hwy Ste D, Tampa, FL 33618-2400 | 2014-08-18 |
| 1578831640 | William T Branch Md | Preferred Provider Organization | 2919 W Swann Ave Ste 303, Tampa, FL 33609-4051 | 2011-12-05 |
| 1740573112 | An Angels Touch Homemaker Companion Care | Preferred Provider Organization | 6205 Travis Blvd, Tampa, FL 33610-5501 | 2011-05-18 |
| 1568755023 | North Park Pain Management | Preferred Provider Organization | 3956 W Hillsborough Ave, Tampa, FL 33614-5628 | 2011-05-17 |
| 1245362987 | Techhealth, Inc | Preferred Provider Organization | 14025 Riveredge Dr, Tampa, FL 33637-2089 | 2007-03-09 |
| 1841751161 | Freedom Ancillary Health | Preferred Provider Organization | 15310 Amberly Dr Ste 250, Tampa, FL 33647-1642 | 2019-03-28 |
| 1649719238 | Tampa Bay Health Alliance, LLC | Preferred Provider Organization | 3500 E Fletcher Ave, Suite 400, Tampa, FL 33613-4708 | 2017-02-16 |
| 1558806737 | Encompass Specialty Surgical Network | Preferred Provider Organization | 1408 N West Shore Blvd, Suite 1015, Tampa, FL 33607-4525 | 2016-12-27 |
| 1174762645 | Compex Solutions, Inc. | Preferred Provider Organization | 8875 Hidden River Pkwy, Ste # 550, Tampa, FL 33637-1035 | 2009-02-06 |
| 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.