BAY PINES VAMC (NPI# 1649219031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649219031 |
Entity Type | Organization |
Organization Name | BAY PINES VAMC |
Other Organization Name | PORT CHARLOTTE VA CBOC |
Practice Address |
4161 Tamiami Trl Unit 401 Port Charlotte FL 33952-9204 |
Mailing Address |
Po Box 140774 Orlando FL 32814-0774 |
Practice Telephone | 8882631889 |
Mailing Telephone | 8882631889 |
Enumeration Date | 2006-06-04 |
Last Update Date | 2017-02-16 |
Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
Authorized Official Telephone | 2023822579 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Port Charlotte VA CBOC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639117294 | Bay Pines Vamc | Clinic/Center | 800 Goodlette Rd N Ste 120, Naples, FL 34102-5402 | 2006-06-03 |
1073560603 | Bay Pines Vamc | Clinic/Center | 5520 E State Road 64, Suite 101, Bradenton, FL 34208-5526 | 2006-05-28 |
1245282334 | Bay Pines Vamc | Clinic/Center | 35209 Us Highway 19 N, Palm Harbor, FL 34684-1908 | 2006-05-17 |
1427009604 | Bay Pines Vamc | Clinic/Center | 5901 Us Highway 27 S, Sebring, FL 33870-2117 | 2006-05-13 |
1801835764 | Bay Pines Vamc | Clinic/Center | 840 Dr Martin Luther King Jr St N, St Petersburg, FL 33705-1214 | 2006-06-06 |
1134167737 | Bay Pines Vamc | Clinic/Center | 5682 Bee Ridge Rd, Suite 100, Sarasota, FL 34233-1500 | 2006-06-03 |
1710933452 | Bay Pines Vamc | Clinic/Center | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2006-05-25 |
1881643609 | Bay Pines Vamc | General Acute Care Hospital | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8700 | 2006-05-09 |
1376591396 | Bay Pines Vamc | Department of Veterans Affairs (VA) Pharmacy | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2006-05-04 |
1003874942 | Bay Pines Vamc | Department of Veterans Affairs (VA) Pharmacy | 2489 Diplomat Pkwy E, Cape Coral, FL 33909-5422 | 2006-05-02 |
Street Address |
4161 TAMIAMI TRL UNIT 401 |
City | PORT CHARLOTTE |
State | FL |
Zip Code | 33952-9204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861480790 | William Lane Edwards Jr. | Nurse Practitioner | 4161 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-9204 | 2005-10-13 |
1194332478 | Ashley M Pospisil | Dietitian, Registered | 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 | 2020-09-30 |
1376098418 | Brittany Diltz | Clinic/Center | 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 | 2016-08-18 |
1386041887 | Golden Touch Physical Therapy, Inc | Clinic/Center | 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 | 2014-11-26 |
1396164257 | Tracy M Mullins | Physical Therapy Assistant | 4161 Tamiami Trl, Suite 704, Port Charlotte, FL 33952-9204 | 2014-04-08 |
1689000325 | John Thomas Connelly | Occupational Therapist | 4161 Tamiami Trl, Ste 103, Port Charlotte, FL 33952-9204 | 2013-09-25 |
1558701060 | Andrea B. Dombrowski | Social Worker | 4161 Tamiami Trl, Suite 401, Port Charlotte, FL 33952-9204 | 2013-06-28 |
1770929978 | Jovanni H Villadarez | Physical Therapist | 4161 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-9204 | 2013-05-14 |
1851736995 | Mark Niles Perkins | Physical Therapy Assistant | 4161 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-9204 | 2013-05-02 |
1609127380 | Megan C Francis | Physical Therapist | 4161 Tamiami Trl, Ste 103, Port Charlotte, FL 33952-9204 | 2012-09-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
Find all providers in zip 33952 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
1831719715 | Orlando Vamc | Clinic/Center | 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 | 2020-04-21 |
1851955405 | Tampa Vamc | Clinic/Center | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-04-30 |
1316331952 | James A.haley Va Hospital | Clinic/Center | 6465 142nd Ave N Apt X205, Clearwater, FL 33760-2785 | 2015-03-20 |
1326436601 | Biloxi Vamc | Clinic/Center | 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 | 2015-01-08 |
1255729505 | Tampa Vamc | Clinic/Center | 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 | 2015-01-08 |
1609264738 | Orlando Vamc | Clinic/Center | 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 | 2014-12-23 |
1902204167 | Tampa Vamc | Clinic/Center | 7701 Little Rd, New Port Richey, FL 34654-5403 | 2014-12-19 |
1386042620 | West Palm Beach Vamc | Clinic/Center | 126 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496 | 2014-12-19 |
1629476965 | Tampa Vamc | Clinic/Center | 14014 North 46th Street, Tampa, FL 33613-9998 | 2014-12-19 |
Find all providers with the same taxonomy |
City | PORT CHARLOTTE |
Zip Code | 33952 |
Please comment or provide details below to improve the information on BAY PINES VAMC.
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.