GREATER TAMPA BAY PHYSICIAN NETWORK, LLC (NPI# 1649604364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649604364 |
| Entity Type | Organization |
| Organization Name | GREATER TAMPA BAY PHYSICIAN NETWORK, LLC |
| Practice Address |
1615 Pasadena Ave S Ste 430 South Pasadena FL 33707-4521 |
| Mailing Address |
Po Box 742717 Atlanta GA 30374-2717 |
| Practice Telephone | 7273970606 |
| Practice Fax Number | 7273976161 |
| Mailing Telephone | 6153737600 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | MR. WILLIAM TEDERICK JOHNSON (GROUP VICE PRESIDENT/AO) |
| Authorized Official Telephone | 6153723375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1615 PASADENA AVE S STE 430 |
| City | SOUTH PASADENA |
| State | FL |
| Zip Code | 33707-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750679908 | Christina Stiles | Internal Medicine | 1430 Alhambra Rd, South Pasadena, CA 91030-4618 | 2011-07-20 |
| 1760772065 | Lauren Christie Karp | Internal Medicine | 1625 Bushnell Ave, South Pasadena, CA 91030-4901 | 2011-04-08 |
| 1366695041 | James S Tsai | Internal Medicine | 7862 Sailboat Key Blvd S, Unit 505, South Pasadena, FL 33707-6357 | 2008-10-28 |
| 1023212487 | Dolly Bahl Kim | Internal Medicine | 238 Fair Oaks Ave, Apt J, South Pasadena, CA 91030-1835 | 2007-06-12 |
| 1023193414 | Bharti Madan Shetye | Internal Medicine | 1609 Pasadena Ave S Ste 3m, South Pasadena, FL 33707-4563 | 2006-10-26 |
| 1144337262 | Stanley Allen Rosenberg | Internal Medicine | 2525 Pasadena Avenue South, Suite U, South Pasadena, FL 33707-4559 | 2006-08-24 |
| 1316955230 | Margaret Odonnell | Internal Medicine | 1825 Olive Ave, South Pasadena, CA 91030-4928 | 2006-08-04 |
| 1548234479 | Beauty Min Khin Myo Swe | Internal Medicine | 630 Mission St, Suite A, South Pasadena, CA 91030-3058 | 2006-02-15 |
| 1578073078 | Joseph M Molina Md Professional Corporation- Southern California | Internal Medicine | 625 Fair Oaks Ave Ste 270, South Pasadena, CA 91030-5801 | 2017-10-10 |
| 1023391208 | Simran Khurana | Internal Medicine | 1609 Pasadena Ave S, Suite 2n, South Pasadena, FL 33707-4565 | 2011-09-23 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
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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.