DR. BRENT WILLIAM CARMACK (NPI# 1841391661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841391661 |
| Entity Type | Individual |
| Full Name | DR. BRENT WILLIAM CARMACK |
| Credential | M.D P.A |
| Practice Address |
900 Carillon Pkwy Ste 111 St Petersburg FL 33716-1121 |
| Mailing Address |
900 Carillon Pkwy Suite 111 St Petersburg FL 33716-1121 |
| Practice Telephone | 7275733937 |
| Practice Fax Number | 7275734344 |
| Mailing Telephone | 7275733937 |
| Mailing Fax Number | 7275734344 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME89731 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 270052200 | 05 |
| Street Address |
900 CARILLON PKWY STE 111 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33716-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073905584 | Caring Practitioners, P.a. | Nurse Practitioner | 900 Carillon Pkwy Ste 111, St Petersburg, FL 33716-1121 | 2015-02-21 |
| 1497028484 | Stephanie Franzen Carmack | Nurse Practitioner | 900 Carillon Pkwy Ste 111, St Petersburg, FL 33716-1121 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609378918 | Don B Knapp II Md | Ophthalmology | 6499 38th Ave N Ste B1, St Petersburg, FL 33710-1657 | 2018-03-02 |
| 1780817411 | Samantha K Roland | Ophthalmology | 601 5th St S # 601, St Petersburg, FL 33701-4804 | 2009-08-28 |
| 1104834795 | David L Silverman | Ophthalmology | 4359 35th St N, St Petersburg, FL 33714-3717 | 2006-08-03 |
| 1356366330 | Lawrence G. Kass | Ophthalmology | 6025 4th St N, St Petersburg, FL 33703-1419 | 2006-07-12 |
| 1841215936 | Joseph G. Ritch | Ophthalmology | 2200 16th St N, St Petersburg, FL 33704-3106 | 2006-07-12 |
| 1144251356 | David A Eichenbaum | Ophthalmology | 4344 Central Ave, St Petersburg, FL 33711-1141 | 2006-07-05 |
| 1073540407 | Frank I Mendelblatt II | Ophthalmology | 600 6th St S, St Petersburg, FL 33701-4813 | 2006-06-28 |
| 1649215369 | Lewis Apter | Ophthalmology | 6133 Central Ave, St Petersburg, FL 33710-8529 | 2006-06-17 |
| 1841231297 | Yasaman Mohadjer | Ophthalmology | 8855 9th St N Ste 100, St Petersburg, FL 33702-3443 | 2006-06-09 |
| 1093786634 | Orion Thomas Ayer | Ophthalmology | 1955 1st Ave N, St Petersburg, FL 33713-8941 | 2006-01-31 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33716 |
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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.