TRILLIUM MEDICAL GROUP OF FLORIDA, INC. (NPI# 1730390451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730390451 |
| Entity Type | Organization |
| Organization Name | TRILLIUM MEDICAL GROUP OF FLORIDA, INC. |
| Practice Address |
1811 N Belcher Rd Clearwater FL 33765-1433 |
| Mailing Address |
Po Box 23788 Tampa FL 33623-3788 |
| Practice Telephone | 8007508103 |
| Practice Fax Number | 8667880863 |
| Mailing Telephone | 8007508103 |
| Mailing Fax Number | 8667880863 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BOBBY L COATES (PRESIDENT) |
| Authorized Official Telephone | 7274035221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GROUP | 34129 | 01 |
| Street Address |
1811 N BELCHER RD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33765-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033237268 | Guansu Wang | Acupuncturist | 1811 N Belcher Rd, Suite H4, Clearwater, FL 33765-1433 | 2007-03-26 |
| 1285860007 | Tampa Bay Orthopaedic & Spine, LLC | Orthopaedic Surgery | 1811 N Belcher Rd, Suite H-2, Clearwater, FL 33765-1433 | 2009-06-08 |
| 1235328873 | David Michael Wall | Anesthesiology | 1811 N Belcher Rd, Suite H-2, Clearwater, FL 33765-1433 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654449 | Seawa Enterprise LLC | Durable Medical Equipment & Medical Supplies | 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 | 2019-11-20 |
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1891172078 | Comprehensive Surgery Center LLC | Clinic/Center | 407 Aurora Ave, Clearwater, FL 33765 | 2015-04-27 |
| 1184050411 | Anthony Richard Cheslock | Dentist | 1831 Belcher Road North, 1-b, Clearwater, FL 33765 | 2013-09-18 |
| 1548609522 | Andrew S Cormier | Optometrist | 2288 Drew Street, Suite B, Clearwater, FL 33765 | 2013-06-23 |
| 1124372412 | Kelly Ann Potts | Acupuncturist | 112 Evelyn Avenue, Clearwater, FL 33765 | 2012-11-08 |
| 1235402876 | Jerry N Karasick | Chiropractor | 901 N. Hercules Ave, Ste C, Clearwater, FL 33765 | 2012-02-13 |
| 1538329362 | Aei Diagnostic Imaging LLC | Clinic/Center | 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 | 2008-06-16 |
| 1700053311 | Loredana Repetto | Social Worker | 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 | 2008-05-13 |
| 1679741920 | Kussel & Associates Inc. | Podiatrist | 2378 Sunset Point Rd, Clearwater, FL 33765 | 2008-02-20 |
| Find all providers in zip 33765 | ||||
| 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 |
|---|---|---|---|---|
| 1902354517 | Lance Lieberman | Family Medicine | 25941 Us 19 N, Suite/po 15212, Clearwater, FL 33763-2013 | 2016-09-13 |
| 1295186351 | Kah Development 7, L.L.C. | Family Medicine | 380 Park Place Blvd Ste 230, Clearwater, FL 33759-4930 | 2016-06-29 |
| 1104289115 | Brian Patrick Mcdaniel | Family Medicine | 400 Pinellas St Ste 350, Clearwater, FL 33756-3319 | 2016-03-29 |
| 1225441215 | Michael Gannon | Family Medicine | 2531 Landmark Dr Ste 103, Clearwater, FL 33761-3928 | 2014-06-06 |
| 1467873315 | Community Health Center of Pinellas Inc | Family Medicine | 5523 Roosevelt Blvd, Clearwater, FL 33760-3425 | 2013-12-19 |
| 1588005185 | Nadia Nirmalene Gomes | Family Medicine | 1007 Jeffords St Ste 101, Clearwater, FL 33756-4082 | 2013-07-11 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| 1427323351 | Nancy L Robbin, M.d. Pa | Family Medicine | 2555 Enterprise Rd Ste 9-3, Clearwater, FL 33763-1150 | 2012-03-10 |
| 1679845374 | Inpatient Consultants of Florida, Inc | Family Medicine | 1700 N Mcmullen Booth Rd Ste D1, Clearwater, FL 33759-2129 | 2012-01-27 |
| 1760791859 | Bayside Family Healthcare Clearwater, LLC | Family Medicine | 107 N Mcmullen Booth Rd, Clearwater, FL 33759-4450 | 2010-10-06 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33765 |
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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.