WESTSIDE MEDICAL CARE, INC (NPI# 1730239583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730239583 |
| Entity Type | Organization |
| Organization Name | WESTSIDE MEDICAL CARE, INC |
| Other Organization Name | WESTSIDE MEDICAL CARE, INC |
| Practice Address |
1810 59th St W Bradenton FL 34209-4630 |
| Practice Telephone | 9417921412 |
| Practice Fax Number | 9417950753 |
| Mailing Telephone | 9417921412 |
| Mailing Fax Number | 9417950753 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | MRS. PAMELA A PERRY (OFFICE MANAGER) |
| Authorized Official Telephone | 9417921412 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 24084 | FL | Other Service Providers |
| Y | 174400000X | Specialist | ME71117 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 94816 | BLUE CROSS BLUE SHIE | 01 |
| FL | RR MEDICARE | DE7241 | 01 |
| Other Name | Type Code |
|---|---|
| westside medical care, inc | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | WESTSIDE MEDICAL CARE, INC. | C/o G. Dean Rainbolt, 1800 North Meridian Suite 305, Indianapolis, IN 46202 |
| Street Address |
1810 59TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536862 | Padmaja Pam Polavarapu | Specialist | 1810 59th St W, Bradenton, FL 34209-4630 | 2005-08-30 |
| 1932201282 | Eva S Laukhuf | Specialist | 1810 59th St W, Bradenton, FL 34209-4630 | 2006-09-05 |
| 1568418416 | Satnam Singh | Legal Medicine | 1810 59th St W, Bradenton, FL 34209-4630 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432053 | Elite Anesthesia of Florida LLC | Specialist | 342 Castaway Cay Drive, Bradenton, FL 34209-2209 | 2015-07-14 |
| 1417340969 | Patti L Wood | Specialist | 3931 Riverview Blvd, Bradenton, FL 34209-2000 | 2015-03-09 |
| 1669804613 | Ipm Institute, Inc. | Specialist | 1215 Bayshore Gardens Pkwy, Bradenton, FL 34207-4857 | 2013-08-01 |
| 1477801108 | Justitia Haddad | Specialist | 4312 55th Ave Drive East, Bradenton, FL 34203 | 2012-08-28 |
| 1922374727 | Kristin E Stella | Specialist | 6907 22nd St W, Bradenton, FL 34207-5702 | 2012-03-26 |
| 1033410576 | Florida Coastal Plastic Sugery | Specialist | 5105 Manatee Avenue West, Suit 19, Bradenton, FL 34209-3715 | 2010-11-16 |
| 1659689081 | De'ann Burton | Specialist | 710 137th St Ne, Bradenton, FL 34212-2751 | 2010-09-20 |
| 1831413327 | Richard Rizzuto Md Pa | Specialist | 3938 E State Road 64, Bradenton, FL 34208-9059 | 2010-03-26 |
| 1922333186 | Macula and Diabetic Eye Center LLC | Specialist | 4916 26th St W, Ste 200, Bradenton, FL 34207-1712 | 2009-10-06 |
| 1811134794 | Coastal Orthopedics & Sports Medicine of Southwest Fl, Pa | Specialist | 5101 4th Avenue Cir E Ste 500, Bradenton, FL 34208-5631 | 2009-01-14 |
| Find all providers in BRADENTON | ||||
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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.