CARLTON RONALD VOLLBERG (NPI# 1659377117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659377117 |
| Entity Type | Individual |
| Full Name | CARLTON RONALD VOLLBERG |
| Credential | MD |
| Practice Address |
2852 Tamiami Trl Ste 6 Port Charlotte FL 33952-5100 |
| Practice Telephone | 9417434445 |
| Practice Fax Number | 9417434287 |
| Mailing Telephone | 9417434445 |
| Mailing Fax Number | 9417434287 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2010-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME00 47688 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 375102300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178450 | Carlton Mark Vollberg | Internal Medicine | 1608 Gunbarrel Rd, Suite 102, Chattanooga, TN 37421-7197 | 2005-10-14 |
| Street Address |
2852 TAMIAMI TRL STE 6 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588975213 | Southwest Florida Regional Imaging II LLC | Radiology | 2852 Tamiami Trl, Port Charlotte, FL 33952-5125 | 2010-06-28 |
| 1972790020 | Tareq Al-khatib | Surgery | 2852 Tamiami Trl, Suite 5, Port Charlotte, FL 33952-5125 | 2007-10-02 |
| 1265628101 | Gretchen Sue Pai | Family Medicine | 2852 Tamiami Trl, Suite 6, Port Charlotte, FL 33952-5125 | 2007-09-24 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316344856 | Roger Anthony Dreyling | Family Medicine | 2511 Pebble Creek Pl, Port Charlotte, FL 33948-1684 | 2014-11-27 |
| 1346669025 | Gerdie Jean-smith | Family Medicine | 3450 Rowland Dr, Port Charlotte, FL 33980-2284 | 2014-04-10 |
| 1801230248 | Hassan Albassam | Family Medicine | 1777 Tamiami Trail, Suite 303, Office 11, Port Charlotte, FL 33948-3394 | 2013-04-27 |
| 1821358607 | Story Family Medicine | Family Medicine | 17912 Toledo Blade Blvd, Ste A, Port Charlotte, FL 33948-1042 | 2012-05-25 |
| 1003124322 | Carlton R. Vollberg M D P A | Family Medicine | 2852 Tamiami Trl Ste 6, Port Charlotte, FL 33952-5100 | 2010-09-21 |
| 1689985541 | Elizabeth A Triana Md Pa | Family Medicine | 3155 Harbor Blvd, Ste. 100, Port Charlotte, FL 33952-6750 | 2010-06-25 |
| 1548466519 | Joseph Ravid | Family Medicine | 21942 Edgewater Dr, Port Charlotte, FL 33952-9723 | 2007-06-26 |
| 1952514283 | Pascal P Bordy | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-05-07 |
| 1801977129 | Stephanie J Shell | Family Medicine | 21300 Gertrude Ave, Suite 1, Port Charlotte, FL 33952-5018 | 2006-10-17 |
| 1811929466 | Elizabeth Alice Triana | Family Medicine | 3155 Harbor Blvd Ste 100, Port Charlotte, FL 33952-6729 | 2006-07-06 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.