HEATHER C BRIDGE (NPI# 1700055035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700055035 |
| Entity Type | Individual |
| Full Name | HEATHER C BRIDGE |
| Credential | PA |
| Practice Address |
12902 Magnolia Dr Srb4 Tampa FL 33612 |
| Practice Telephone | 8137457853 |
| Mailing Telephone | 8137457853 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2011-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PAT9104498 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12902 MAGNOLIA DR SRB4 |
| City | TAMPA |
| State | FL |
| Zip Code | 33612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043280142 | George Douglas Letson | Specialist | 12902 Magnolia Dr, Suite 5036, Tampa, FL 33612-9416 | 2006-01-23 |
| 1497211536 | Candice Monique Hallmon | Nurse Practitioner | 12902 Magnolia Dr, Fob 2, Tampa, FL 33612 | 2019-02-13 |
| 1184961864 | Ronie E Schmidt | Pharmacist | 12902 Magnolia Dr, Tampa, FL 33612-9416 | 2013-01-15 |
| 1760745913 | Rachel Kathleen Lundberg | Physician Assistant | 12902 Magnolia Dr, Tampa, FL 33612 | 2012-06-22 |
| 1821222480 | Julian A Sanchez | Surgery | 12902 Magnolia Dr, Fob-2 Gi Program, Tampa, FL 33612 | 2009-05-12 |
| 1508023714 | Bijal Shah | Internal Medicine | 12902 Magnolia Dr, Tampa, FL 33612 | 2008-05-16 |
| 1508032715 | Cristina M Odonoghue | Surgery | 12902 Magnolia Dr, Tampa, FL 33612 | 2008-05-07 |
| 1184813123 | Timothy J Kim | Urology | 12902 Magnolia Dr, Tampa, FL 33612 | 2007-10-16 |
| 1205028867 | Jacques-pierre Fontaine | Surgery | 12902 Magnolia Dr, Tampa, FL 33612-9416 | 2007-08-16 |
| 1003938366 | Theresa A Boyle | Pathology | 12902 Magnolia Dr, Moffitt Cancer Center, Tampa, FL 33612 | 2007-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508377219 | Hansel David Baez | Physician Assistant | 10740 Palm River Rd Ste 300, Tampa, FL 33619-4577 | 2017-10-20 |
| 1972502714 | Cynthia B Anders | Physician Assistant | 12880 Commodity Pl, Tampa, FL 33626-3101 | 2005-07-14 |
| 1144783630 | Rachel Tipton | Physician Assistant | 909 N Dale Mabry Hwy, Tampa, FL 33609-1251 | 2019-04-11 |
| 1275022618 | Samantha Anna Wloch | Physician Assistant | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2018-05-01 |
| 1154825537 | Seth Lloyd | Physician Assistant | 10740 Palm River Rd Ste 300, Tampa, FL 33619-4577 | 2018-03-21 |
| 1649782384 | Riley Harms | Physician Assistant | 10740 Palm River Rd Ste 300, Tampa, FL 33619-4577 | 2017-11-03 |
| 1982137824 | Chris Taylor | Physician Assistant | 3000 Medical Park Dr, Ste 500, Tampa, FL 33613-4680 | 2017-04-07 |
| 1184157174 | Maya Niewiadomska | Physician Assistant | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2017-04-06 |
| 1720537921 | Paolo Calizo | Physician Assistant | 3003 W Dr Martin Luther King Jr Blvd Fl 2, Tampa, FL 33607 | 2016-09-28 |
| 1104293380 | Vc-pa First Assist, LLC | Physician Assistant | 10006 Cross Creek Blvd, #449, Tampa, FL 33647-2595 | 2015-08-24 |
| Find all providers in TAMPA | ||||
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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.