JAMES A. HALEY VA HOSPITAL (NPI# 1790747020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790747020 |
| Entity Type | Organization |
| Organization Name | JAMES A. HALEY VA HOSPITAL |
| Practice Address |
13000 Bruce B Downs Blvd Nursing 118-a Tampa FL 33612-4745 |
| Mailing Address |
34404 Countryside Dr Zephyrhills FL 33543-5228 |
| Practice Telephone | 8139722000 |
| Practice Fax Number | 8139785933 |
| Mailing Telephone | 8137150999 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. EDWARD P CUTOLO JR. (CHEIF OF STAFF) |
| Authorized Official Telephone | 8139722000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | RN9212853 | FL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538415245 | James A. Haley Va Hospital | General Acute Care Hospital | 13000-bruce B. Downs Blvd, James A. Haley Va Hospital, Tampa, FL 33612 | 2012-07-31 |
| Street Address |
13000 BRUCE B DOWNS BLVD NURSING 118-A |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707244 | Shirly S Moonjeli | Family Medicine | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2005-06-01 |
| 1568063238 | Katelyn Panawash | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-08 |
| 1477154813 | Angela Andersen | Speech-Language Pathologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-03 |
| 1730780339 | Tamara Pasquel | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-11-02 |
| 1306445135 | James Mark Kaplan | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-10-22 |
| 1063011203 | Marina Lynn Leander | Recreation Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-10-20 |
| 1881201580 | Brent Gibson | Student in an Organized Health Care Education/Training Program | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-26 |
| 1033725106 | Brighid M Rebolledo | Occupational Therapist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-09-23 |
| 1447863345 | Emmanuella Armand | Nurse Practitioner | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-08-28 |
| 1982217238 | Julia Marie Lopez | Psychologist | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2020-08-26 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942605530 | Florida Hospital Carrollwood | General Acute Care Hospital | 4221 W Spruce St Apt 1417, Tampa, FL 33607-7252 | 2014-10-26 |
| 1649605445 | St Joseph Hospital | General Acute Care Hospital | 308 N Beverly Ave, 3001 Martin Luther King Jr. Blvd., Tampa, FL 33609-1408 | 2013-09-11 |
| 1538415245 | James A. Haley Va Hospital | General Acute Care Hospital | 13000-bruce B. Downs Blvd, James A. Haley Va Hospital, Tampa, FL 33612 | 2012-07-31 |
| 1346519816 | St. Joseph's Hospital, Inc. | General Acute Care Hospital | 3030 W. Dr. Mlk Jr Blvd, Tampa, FL 33607-6307 | 2011-12-29 |
| 1912236357 | Juanita Marie Bergmann | General Acute Care Hospital | 4555 S. Manhattan Ave., Tampa, FL 33601 | 2009-12-14 |
| 1659530236 | James A Haley Va | General Acute Care Hospital | 13000 Bruce B Downs Blvd # Va, Tampa, FL 33612-4745 | 2008-06-09 |
| 1588875322 | Club Staffing | General Acute Care Hospital | 13905 Fletchers Mill Dr, Tampa, FL 33613-4118 | 2007-05-24 |
| 1184648073 | James A Haley Veterans Hospital | General Acute Care Hospital | 13000 B Downs Blvd, Room 2b201, Tampa, FL 33612 | 2006-07-26 |
| 1386694701 | Tampa Vamc | General Acute Care Hospital | 13000 N. Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-05-10 |
| 1124558929 | Tampa General Hospital | General Acute Care Hospital | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2017-06-14 |
| 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.