MITCHELL RAY HERREMA (NPI# 1811126048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811126048 |
Entity Type | Individual |
Full Name | MITCHELL RAY HERREMA |
Credential | D.O. |
Practice Address |
1011 Jeffords St Bldg C Clearwater FL 33756 |
Mailing Address |
1011 Jeffords St Bldg C Clearwater FL 33756-4070 |
Practice Telephone | 7274465993 |
Practice Fax Number | 7274464477 |
Mailing Telephone | 7274465993 |
Mailing Fax Number | 7274464477 |
Enumeration Date | 2009-07-09 |
Last Update Date | 2018-05-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | OS12585 | FL | Allopathic & Osteopathic Physicians |
Street Address |
1011 JEFFORDS ST BLDG C |
City | CLEARWATER |
State | FL |
Zip Code | 33756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772011 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1011 Jeffords St Bldg C, Clearwater, FL 33756-4070 | 2020-02-20 |
1619476645 | Matthew Knowlton | Nurse Practitioner | 1011 Jeffords St Bldg C, Clearwater, FL 33756-4070 | 2018-02-05 |
1326563628 | Christina Page | Specialist/Technologist, Other | 1011 Jeffords St Bldg C, Clearwater, FL 33756-4070 | 2017-08-08 |
1609139336 | Richard Synder Howell | Orthopaedic Surgery | 1011 Jeffords St Bldg C, Clearwater, FL 33756 | 2012-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
Find all providers in zip 33756 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356757512 | Michael Venezia | Orthopaedic Surgery | 1011 Jeffords St Bldg D, Clearwater, FL 33756-4070 | 2014-07-09 |
1467748533 | Gerard Lee Macdonald | Orthopaedic Surgery | 487 Island Way, Clearwater, FL 33767-2145 | 2011-06-27 |
1306041421 | Clearwater Orthopedic & Sports Medicine Inc | Orthopaedic Surgery | 701 N Hercules Ave Ste A, Clearwater, FL 33765-2029 | 2007-06-19 |
1649292046 | Andrew Wells Moulton | Orthopaedic Surgery | 2730 N Mcmullen Booth Rd Ste 202, Clearwater, FL 33761-3302 | 2006-07-24 |
1831137066 | Orthosports LLC | Orthopaedic Surgery | 3251 Mcmullen Booth Road, Suite 201, Clearwater, FL 33761 | 2006-06-02 |
1851387476 | Ashraf Ahmed Ragab | Orthopaedic Surgery | 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 | 2005-09-20 |
1497749246 | Howard Louis Schuele | Orthopaedic Surgery | 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 | 2005-09-08 |
1053304022 | Robert Donnelly | Orthopaedic Surgery | 1660 Gulf To Bay Blvd, Clearwater, FL 33755 | 2005-08-25 |
1790778769 | Ronald G Hayter | Orthopaedic Surgery | 1831 N Belcher Rd Ste E2, E2, Clearwater, FL 33765-1442 | 2005-08-25 |
1154954949 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 430 Morton Plant St Ste 301, Clearwater, FL 33756-3395 | 2020-02-20 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 33756 |
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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.