DR. BLAINE RICHARD HERIC (NPI# 1912971946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912971946 |
Entity Type | Individual |
Full Name | DR. BLAINE RICHARD HERIC |
Credential | MD |
Practice Address |
455 Pinellas St Suite 320 Clearwater FL 33756-3369 |
Mailing Address |
Po Box 10744 Clearwater FL 33757-8744 |
Practice Telephone | 7274462273 |
Practice Fax Number | 7274414966 |
Mailing Telephone | 7275320002 |
Mailing Fax Number | 7272664943 |
Enumeration Date | 2006-02-15 |
Last Update Date | 2016-12-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME73348 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | RAILROAD MEDICARE PROVIDER NUMBER | P01735276 | 01 |
FL | 252274880 | 05 |
Street Address |
455 PINELLAS ST SUITE 320 |
City | CLEARWATER |
State | FL |
Zip Code | 33756-3369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538162292 | Brenda Hoy | Physician Assistant | 455 Pinellas St, Suite 320, Clearwater, FL 33756-3369 | 2005-05-24 |
1588112155 | Gloria Ashley Castenir | Physician Assistant | 455 Pinellas St, Suite 320, Clearwater, FL 33756 | 2016-09-13 |
1609222751 | Nancy Turner | Nurse Practitioner | 455 Pinellas St, Suite 240, Clearwater, FL 33756-3354 | 2016-05-08 |
1003270448 | Kerrie Michelle Coffman | Nurse Practitioner | 455 Pinellas St, Suite 400, Clearwater, FL 33756-3354 | 2016-04-12 |
1154788016 | Melanie Lenard | Nurse Practitioner | 455 Pinellas St, Suite 330, Clearwater, FL 33756-3354 | 2016-01-24 |
1295122208 | Rhianna Marie Mcnichols | Nurse Practitioner | 455 Pinellas St, Suite 320, Clearwater, FL 33756-3354 | 2015-04-17 |
1538559562 | Patricia M. Mullan-waldrop | Nurse Practitioner | 455 Pinellas St, Suite 320, Clearwater, FL 33756-3354 | 2015-01-29 |
1093123457 | Olivia Anne O'berry | Physician Assistant | 455 Pinellas St, Suite 400, Clearwater, FL 33756-3354 | 2014-07-30 |
1215356811 | Shannon O'donnell Lofgren | Physician Assistant | 455 Pinellas St, Clearwater, FL 33756-3354 | 2014-04-10 |
1619395241 | Adam Mcquillan Tulp | Physician Assistant | 455 Pinellas St, Suite 320, Clearwater, FL 33756-3354 | 2014-04-01 |
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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 | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346510724 | Thomas Deal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 Eldorado Ave, Clearwater, FL 33767-1312 | 2012-01-03 |
1780658054 | Joshua David Rovin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 455 Pinellas St., Suite 320, Clearwater, FL 33756-3369 | 2006-02-14 |
1518963297 | Jeffrey N Bott | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 455 Pinellas St Ste 320, Clearwater, FL 33756-3369 | 2005-06-27 |
1972893220 | Michael Owen Kayatta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 455 Pinellas St Ste 320, Clearwater, FL 33756 | 2011-04-07 |
1134319957 | Florida Cardiovascular Surgeons Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1000 Lakeview Rd, Suite 3, Clearwater, FL 33756-3475 | 2007-07-27 |
1255393203 | Richard A Murbach | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 455 Pinellas St, Suite 320, Clearwater, FL 33756-3354 | 2006-04-05 |
1457325268 | John C Ofenloch | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 455 Pinellas St, Suite 320, Clearwater, FL 33756-3369 | 2006-02-16 |
1831163880 | Liberato Chapa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 455 Pinellas St, Suite 320, Clearwater, FL 33756-3369 | 2006-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765898 | Leonardo Andrade Mulinari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 Nw 14th St Ofc 462, Miami, FL 33136-2107 | 2020-09-21 |
1093344376 | Jupiter Medical Center Physicians Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1002 S Old Dixie Hwy Ste 101, Jupiter, FL 33458-7202 | 2020-04-07 |
1720581937 | John J Dunning | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12901 Bruce B Downs Blvd # 62, Tampa, FL 33612-4742 | 2018-03-14 |
1871020545 | Nicholas James Sears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 Knights Run Ave, Suite 1406, Tampa, FL 33602-6300 | 2017-05-12 |
1124410857 | Miami Vein Clinics Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8549 Coral Way, Miami, FL 33155-2335 | 2015-03-04 |
1861884595 | Usa Vascular Centers of Miami Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1711 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621 | 2015-03-04 |
1568861995 | Modesto Peralta Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 423 W Fenway Dr, Hernando, FL 34442-5144 | 2014-08-21 |
1477982197 | Paul Kurlansky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2755 N Bay Rd, Miami Beach, FL 33140-4264 | 2013-11-04 |
1184063521 | Walter Smithwick IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Prince Edward Rd, Jacksonville, FL 32210-8118 | 2013-06-19 |
1023451937 | Leonard R. Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1121 Crandon Blvd, F-701, Key Biscayne, FL 33149-2755 | 2013-04-10 |
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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.