SUSAN R HEINRICHS (NPI# 1922003839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922003839 |
| Entity Type | Individual |
| Full Name | SUSAN R HEINRICHS |
| Credential | PA |
| Practice Address |
13020 N Telecom Pkwy Temple Terrace FL 33637-0925 |
| Practice Telephone | 8139789700 |
| Practice Fax Number | 8139725055 |
| Mailing Telephone | 8139789700 |
| Mailing Fax Number | 8139725055 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA0002213 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC/BS | Y04FP | 01 |
| FL | 290133100 | 05 | |
| FL | RAILROAD MEDICARE | 970004473 | 01 |
| Street Address |
13020 N TELECOM PKWY |
| City | TEMPLE TERRACE |
| State | FL |
| Zip Code | 33637-0925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790739 | Amy Beth Mckamy | Occupational Therapist | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2005-06-16 |
| 1720690639 | Madison Hackman | Physical Therapy Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2020-08-21 |
| 1053920470 | Lindsay Ann Landry | Physical Therapist | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2020-07-31 |
| 1184242091 | Christopher Zamudio | Physical Therapy Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2020-07-07 |
| 1487208351 | Natalie Cammisa | Occupational Therapy Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2019-07-30 |
| 1306498761 | Ishvinder Singh Grewal | Orthopaedic Surgery | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 | 2019-07-15 |
| 1477115814 | Joseph Mathew | Physical Therapist | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2019-07-06 |
| 1194386938 | Erica Franklin | Nurse Practitioner | 13020 N Telecom Pkwy, Temple Terrace, FL 33637 | 2019-06-24 |
| 1972064483 | Hetali Binoy Shah | Physical Therapist | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2019-03-27 |
| 1265990022 | Sandra Pizzurro | Nurse Practitioner | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677846 | Ivory Jewels Hha LLC | Home Health | 7320 E. Fletcher Ave Suite 127, Tampa, FL 33637 | 2019-06-06 |
| 1346753134 | Mental Fitness Group, LLC | Clinic/Center | 8875 Hidden River Pkwy Ste 300, Tampa, FL 33637 | 2017-11-15 |
| 1669854857 | Tatessica Cooley | Counselor | 7403 Temple Terrace Highway, Suite B, Tampa, FL 33637 | 2015-06-24 |
| 1336526854 | Lisa Magliarditi | Physical Therapist | 12110 Morris Brige Road, 3rd Floor Therapy Suite, Tampa, FL 33637 | 2015-05-05 |
| 1225472277 | Amber Kuzma | Behavioral Analyst | 7025 Ponderosa Dr, Tampa, FL 33637 | 2013-04-22 |
| 1326315516 | Christopher L. Leitten | Psychologist | 9710 Woodland Ridge Dr., Tampa, FL 33637 | 2011-11-16 |
| 1669765178 | Christina Sara Philip | Internal Medicine | 12470 Telecom Drive, Ste 300w, Temple Terrace, FL 33637 | 2011-05-17 |
| 1912129800 | Alison Brothers | Speech-Language Pathologist | 8800 Grand Oak Circle, Suite 450, Tampa, FL 33637 | 2007-05-02 |
| 1427187020 | Nauman A. Siddiqi | Internal Medicine | 7523 Terrace River Drive, Temple Terrace, FL 33637 | 2007-03-02 |
| 1205945243 | Florida Orthopaedic Institute Surgery Center LLC | Clinic/Center | 13060 Telecom Parkway, Temple Terrace, FL 33637 | 2006-08-30 |
| Find all providers in zip 33637 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134308984 | Jonathan B Runion | Physician Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2007-10-29 |
| 1760432413 | Donna Dumee | Physician Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2006-05-12 |
| 1881668754 | Leanne S Henderson | Physician Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2006-02-15 |
| 1790781052 | Jennifer Moore | Physician Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2005-06-22 |
| 1003811944 | Georgina R Crago | Physician Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2005-06-16 |
| 1841295805 | Jeffrey A Hamelin | Physician Assistant | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | TEMPLE TERRACE |
| Zip Code | 33637 |
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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.