COREY MICHAEL SPEGAL (NPI# 1699261206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699261206 |
| Entity Type | Individual |
| Full Name | COREY MICHAEL SPEGAL |
| Credential | PA-C |
| Practice Address |
305 E Brandon Blvd Brandon FL 33511 |
| Mailing Address |
13020 N Telecom Pkwy Temple Terrace FL 33637-0925 |
| Practice Telephone | 8139789700 |
| Mailing Telephone | 8139789700 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9111357 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9111357 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
305 E BRANDON BLVD |
| City | BRANDON |
| State | FL |
| Zip Code | 33511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903204 | Thomas M Davison | Orthopaedic Surgery | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2005-06-22 |
| 1669994661 | Omar L Abadie | Specialist/Technologist | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2017-07-11 |
| 1164944450 | Ronald Shannon Terrell | Specialist/Technologist | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2017-07-09 |
| 1922549104 | Kelly Cornnell | Physician Assistant | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2017-03-20 |
| 1639616865 | Katie Jameson | Physician Assistant | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2017-01-26 |
| 1619309614 | Kevin B Osborne | Physician Assistant | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2013-08-01 |
| 1770824609 | Jason Schoonover | Physical Therapist | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2013-03-01 |
| 1891031274 | Nishit Jayantilal Patel | Physical Therapist | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2012-12-12 |
| 1881978286 | Elizabeth M Peirano | Nurse Practitioner | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2011-10-04 |
| 1346471935 | Ashley L Mouradian | Physical Therapy Assistant | 305 E Brandon Blvd, Brandon, FL 33511-5222 | 2009-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134523525 | Mildred Lopez Garrido | Physician Assistant | 205 S Moon Ave Ste 105, Brandon, FL 33511-5716 | 2014-10-15 |
| 1528477254 | Arveny Negron | Physician Assistant | 500 Vonderburg Dr Ste 311w, Brandon, FL 33511-5978 | 2014-08-06 |
| 1053724955 | Travis Shearer | Physician Assistant | 3954 Applegate Cir, Brandon, FL 33511-7985 | 2014-06-09 |
| 1649368556 | Cheri Marie Jrolf | Physician Assistant | 519a E Bloomingdale Ave Ste A, Brandon, FL 33511-8105 | 2006-10-10 |
| 1396771234 | John H Phillips | Physician Assistant | 799 W Lumsden Rd, Brandon, FL 33511-6261 | 2006-06-23 |
| 1083662159 | Tony John Nelson | Physician Assistant | 540 Medical Oaks Ave Ste 102, Brandon, FL 33511-5995 | 2006-05-04 |
| 1578550216 | James William Pank | Physician Assistant | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2005-09-27 |
| 1811998156 | Janelle Marie Kalle | Physician Assistant | 500 Vonderburg Dr, 102, Brandon, FL 33511-5964 | 2005-08-09 |
| 1801304126 | Morgan Leigh Williams | Physician Assistant | 615 Vonderburg Dr, Brandon, FL 33511-5972 | 2018-01-22 |
| 1093242810 | Marikate B Howe | Physician Assistant | 403 S Kings Ave Ste 100, Brandon, FL 33511-5962 | 2017-05-11 |
| Find all providers in BRANDON | ||||
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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.