ROBERT OWEN BASH JR. (NPI# 1679532717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679532717 |
| Entity Type | Individual |
| Full Name | ROBERT OWEN BASH JR. |
| Credential | MD |
| Practice Address |
12470 Telecom Dr Suite 300 West Temple Terrace FL 33637-0904 |
| Practice Telephone | 8138718111 |
| Mailing Telephone | 8138718111 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2015-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
ME118356 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010392400 | 05 | |
| FL | MEDICARE | HV241Z | 01 |
| Street Address |
12470 TELECOM DR SUITE 300 WEST |
| City | TEMPLE TERRACE |
| State | FL |
| Zip Code | 33637-0904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205290020 | Aimal Nikamal | Family Medicine | 12470 Telecom Dr, Temple Terrace, FL 33637-0904 | 2016-04-07 |
| 1538594056 | Lauren Nicole Hilpl | Nurse Practitioner | 12470 Telecom Dr, Suite 300 West, Temple Terrace, FL 33637-0904 | 2013-09-04 |
| 1356683916 | Kelly Kristina Corine | Nurse Practitioner | 12470 Telecom Dr, Suite 300 West, Temple Terrace, FL 33637-0904 | 2013-03-21 |
| 1811251234 | David Edward Grant | Nurse Practitioner | 12470 Telecom Dr, Temple Terrace, FL 33637-0904 | 2012-06-29 |
| 1295900819 | Jose Manuel Fernandez-semidey | Family Medicine | 12470 Telecom Dr, Suite 300w, Temple Terrace, FL 33637-0904 | 2008-04-24 |
| 1346372083 | Denise Magaly Carulli | Nurse Practitioner | 12470 Telecom Dr, Ste 300w, Temple Terrace, FL 33637 | 2007-03-09 |
| 1073683553 | Chapters Health Palliative Care, LLC | Internal Medicine | 12470 Telecom Dr, Suite 300, Temple Terrace, FL 33637-0904 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677846 | Ivory Jewels Hha LLC | Home Health | 7320 E. Fletcher Ave Suite 127, Tampa, FL 33637 | 2019-06-06 |
| 1346753134 | Mental Fitness Group, LLC | Clinic/Center | 8875 Hidden River Pkwy Ste 300, Tampa, FL 33637 | 2017-11-15 |
| 1669854857 | Tatessica Cooley | Counselor | 7403 Temple Terrace Highway, Suite B, Tampa, FL 33637 | 2015-06-24 |
| 1336526854 | Lisa Magliarditi | Physical Therapist | 12110 Morris Brige Road, 3rd Floor Therapy Suite, Tampa, FL 33637 | 2015-05-05 |
| 1225472277 | Amber Kuzma | Behavioral Analyst | 7025 Ponderosa Dr, Tampa, FL 33637 | 2013-04-22 |
| 1326315516 | Christopher L. Leitten | Psychologist | 9710 Woodland Ridge Dr., Tampa, FL 33637 | 2011-11-16 |
| 1669765178 | Christina Sara Philip | Internal Medicine | 12470 Telecom Drive, Ste 300w, Temple Terrace, FL 33637 | 2011-05-17 |
| 1912129800 | Alison Brothers | Speech-Language Pathologist | 8800 Grand Oak Circle, Suite 450, Tampa, FL 33637 | 2007-05-02 |
| 1427187020 | Nauman A. Siddiqi | Internal Medicine | 7523 Terrace River Drive, Temple Terrace, FL 33637 | 2007-03-02 |
| 1205945243 | Florida Orthopaedic Institute Surgery Center LLC | Clinic/Center | 13060 Telecom Parkway, Temple Terrace, FL 33637 | 2006-08-30 |
| Find all providers in zip 33637 | ||||
| Taxonomy Code | 2080H0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Hospice and Palliative Medicine |
| A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861694713 | Jaykumar M Pattani | Pediatrics | 2808 Scott Mill Ter, Jacksonville, FL 32257-5756 | 2007-06-04 |
| 1407069412 | James Sorger | Pediatrics | 4793 Esedra Ct, 304, Lake Worth, FL 33467-5076 | 2007-05-07 |
| 1326251596 | Sunlife Pediatric Network Inc | Pediatrics | 10051 Pines Blvd Ste A, Pembroke Pines, FL 33024-6187 | 2007-05-07 |
| 1518089945 | Gentle Medicine Associates | Pediatrics | 202 Se 23rd Ave, Boynton Beach, FL 33435-7620 | 2007-04-05 |
| 1922168129 | Ileana Maria Leyva | Pediatrics | 5420 Nw 33rd Ave Ste 100, Ft Lauderdale, FL 33309-6348 | 2006-12-11 |
| 1881128171 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Palliative Care Medicine- 3rd Floor- Suite 6-74, Miami, FL 33155 | 2017-04-13 |
| 1164860987 | Family First Pediatrics P A | Pediatrics | 1049 Willa Springs Dr, Suite 1031, Winter Springs, FL 32708-5246 | 2013-06-14 |
| 1518106400 | Elizabeth Annabelle Persad | Pediatrics | 655 W 8th St, Jacksonville, FL 32209-6511 | 2009-02-17 |
| 1932393717 | Community Hospice of Northeast Florida Inc | Pediatrics | 4266 Sunbeam Rd, Jacksonville, FL 32257-6030 | 2007-09-05 |
| City | TEMPLE TERRACE |
| Zip Code | 33637 |
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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.