DR. LUIS TERRY MENENDEZ (NPI# 1871536615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871536615 |
| Entity Type | Individual |
| Full Name | DR. LUIS TERRY MENENDEZ |
| Credential | M.D. |
| Practice Address |
3011 W Swann Ave Tampa FL 33609-4059 |
| Practice Telephone | 8138798436 |
| Practice Fax Number | 8138782405 |
| Mailing Telephone | 8138798436 |
| Mailing Fax Number | 8138782405 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 24434 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 406073185 | 01 |
| FL | 204969400 | 05 | |
| FL | AETNA | 3211253 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627104 | Luis E Menendez | Behavior Technician | 9473 Sw 125th Ter, Miami, FL 33176-5058 | 2020-10-21 |
| 1245344464 | Luis C. Menendez | Dentist | 6515 Kennedy Blvd E, Suite Gmgn, West New York, NJ 07093-4231 | 2006-08-17 |
| Street Address |
3011 W SWANN AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952331860 | Luis T Menendez Md Pa | Dermatology | 3011 W Swann Ave, Tampa, FL 33609-4059 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1578927596 | Lombardi Institute of Dermatology | Dermatology | 602 S Audubon Ave Ste B, Tampa, FL 33609-4217 | 2016-04-06 |
| 1275909806 | Dermatology Network of Florida, LLC | Dermatology | 8320 W Hillsborough Ave, Ste B, Tampa, FL 33615-3824 | 2015-08-18 |
| 1225424740 | Lisa Marie Diaz | Dermatology | 17401 Commerce Park Blvd Ste 104, Tampa, FL 33647-3507 | 2015-04-10 |
| 1053702134 | Robert R. Tawil | Dermatology | 3741 W Neptune St, Tampa, FL 33629-5118 | 2015-02-11 |
| 1013317460 | Scott Forrester Lindsey | Dermatology | 310 S. Macdill Ave., Suite 201, Tampa, FL 33609 | 2014-09-03 |
| 1619317575 | Jonathan Lopez | Dermatology | 2727 W Dr Mlk Blvd Ste 570, Tampa, FL 33607-6009 | 2013-06-25 |
| 1619151479 | C Lance Kane Md Pa | Dermatology | 505 S Habana Ave, Tampa, FL 33609 | 2007-12-28 |
| 1730362112 | Amanda Brooke Sergay | Dermatology | 310 S Macdill Ave, Tampa, FL 33609-3142 | 2007-12-09 |
| 1649362112 | Gisela Torres-bonilla | Dermatology | 4700 N Habana Ave Ste 303, Tampa, FL 33614-7118 | 2006-09-29 |
| 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.