OTHER PRACTICE (NPI# 1851741763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851741763 |
| Entity Type | Organization |
| Organization Name | OTHER PRACTICE |
| Practice Address |
714 W Dr Martin Luther King Jr Blvd Tampa FL 33603-3104 |
| Mailing Address |
714 West Dr Mlk Jr Blvd Tampa FL 33603 |
| Practice Telephone | 7722857449 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | CECILIA A WILLIAMS (ARNP) |
| Authorized Official Telephone | 7722857449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Street Address |
714 W DR MARTIN LUTHER KING JR BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33603-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980433 | Liberty Dental Plan of Florida, Inc. | Health Maintenance Organization | 7870 Woodlnd Ctr Blvd, Tampa, FL 33614-2409 | 2018-08-06 |
| 1366920498 | Liberty Dental Plan of Florida, Inc. | Health Maintenance Organization | 7870 Woodland Center Blvd, Tampa, FL 33614-2409 | 2018-07-31 |
| 1316318363 | Optimum Healthcare Inc. | Health Maintenance Organization | 5403 N Church Ave, Tampa, FL 33614-5611 | 2015-10-16 |
| 1881021673 | Elizabeth Rocha | Health Maintenance Organization | 9510 Sunbelt St, Unit 306, Tampa, FL 33635-6004 | 2013-10-11 |
| 1437586872 | Mlmg of Florida | Health Maintenance Organization | 16578 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2013-10-01 |
| 1477835221 | P V C Medical Center, Inc. | Health Maintenance Organization | 5011 W Hillsborough Ave, Suite N, Tampa, FL 33634-5309 | 2011-09-16 |
| 1700165982 | Key Health Plans, Inc. | Health Maintenance Organization | 5440 Mariner St, Suite 110, Building 9, Tampa, FL 33609-3446 | 2011-08-05 |
| 1134428089 | Tampa Massage Rehab Services | Health Maintenance Organization | 4523 Dreisler St, Tampa, FL 33634-7317 | 2011-03-17 |
| 1629397773 | Avid Health Plans LLC | Health Maintenance Organization | 10549 N Florida Ave Ste L, Tampa, FL 33612-6707 | 2010-05-27 |
| 1942467212 | Wellcare of Florida, Inc. | Health Maintenance Organization | 3031 N. Rocky Point Drive W., Suite 600, Tampa, FL 33607 | 2008-05-22 |
| 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.