DIAGNOSTIC CLINIC MEDICAL GROUP INC. (NPI# 1942452966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942452966 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC CLINIC MEDICAL GROUP INC. |
| Practice Address |
3820 Tampa Rd Suite 101 Palm Harbor FL 34684-3609 |
| Mailing Address |
1301 2nd Ave Sw Largo FL 33770-3120 |
| Practice Telephone | 7277856422 |
| Practice Fax Number | 7277859660 |
| Mailing Telephone | 7275818767 |
| Mailing Fax Number | 7275818507 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | DR. JAMES F RIVENBARK III (CEO) |
| Authorized Official Telephone | 7275818767 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851314 | Diagnostic Clinic Medical Group Inc. | Allergy & Immunology | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2005-06-16 |
| 1124425947 | Diagnostic Clinic Medical Group Inc. | Family Medicine | 6776 54th Ave N, Suite A, St Petersburg, FL 33709-1405 | 2014-11-21 |
| 1780080945 | Diagnostic Clinic Medical Group Inc. | Family Medicine | 630 Pasadena Ave S, St Petersburg, FL 33707-2128 | 2014-11-14 |
| 1699927616 | Diagnostic Clinic Medical Group Inc. | Durable Medical Equipment & Medical Supplies | 3131 N Mcmullen Booth Rd, Clearwater, FL 33761-2008 | 2008-10-22 |
| 1154474245 | Diagnostic Clinic Medical Group Inc. | Clinical Medical Laboratory | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2007-01-19 |
| Street Address |
3820 TAMPA RD SUITE 101 |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34684-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308270 | Kurt N Harris | Internal Medicine | 3820 Tampa Rd, #202, Palm Harbor, FL 34684-3609 | 2005-10-03 |
| 1215471115 | Sunrise Medical Associates, LLC | Internal Medicine | 3820 Tampa Rd, Suite 202, Palm Harbor, FL 34684-3609 | 2016-12-12 |
| 1598065211 | Mindy Teresa Dolan | Nurse Practitioner | 3820 Tampa Rd, Suite 202, Palm Harbor, FL 34684-3609 | 2010-10-27 |
| 1801033550 | Marina V Kulick | Family Medicine | 3820 Tampa Rd, Suite 202, Palm Harbor, FL 34684-3609 | 2009-01-17 |
| 1265692768 | Health Plus Advantage LLC | Family Medicine | 3820 Tampa Rd, Suite 202, Palm Harbor, FL 34684 | 2008-06-10 |
| 1912027848 | Kevin David Kiley | Dentist | 3820 Tampa Rd, Ste 201, Palm Harbor, FL 34684-3609 | 2007-04-02 |
| 1649303843 | Kerry Robson | Dentist | 3820 Tampa Rd, Suite 201, Palm Harbor, FL 34684-3609 | 2007-03-14 |
| 1467498824 | David S Rothberg | Ophthalmology | 3820 Tampa Rd, Suite 101, Palm Harbor, FL 34684-3609 | 2006-06-22 |
| 1215991369 | Leslie L Dongell | Internal Medicine | 3820 Tampa Rd, Palm Harbor, FL 34684-3609 | 2006-04-14 |
| 1902868904 | Aron Schlau | Internal Medicine | 3820 Tampa Rd, Palm Harbor, FL 34684-3609 | 2006-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042147 | Patrick Curry | Nurse Practitioner | 2815 Us-19 Alt, Suite B, Palm Harbor, FL 34684 | 2020-08-05 |
| 1649897059 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2375 Curlew Road, Palm Harbor, FL 34684 | 2020-07-01 |
| 1679068142 | Barbara Purcell | Hearing Instrument Specialist | 34026 Us Hwy 19 N, Palm Harbor, FL 34684 | 2018-06-27 |
| 1134623507 | Virginia Lynn Kappel | Behavior Technician | 3371 Preakness Place, Apt. 1309, Palm Harbor, FL 34684 | 2018-03-21 |
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1821512088 | Robin Ann Polizzi | Registered Nurse | 3474 Rolling Trail, Palm Harbor, FL 34684 | 2017-07-31 |
| 1699202846 | Allied Care Services, LLC | Non-emergency Medical Transport (VAN) | 231 Morgan Ct, Palm Harbor, FL 34684 | 2017-05-18 |
| 1730632522 | Fox Chase Emergency Physicians LLC | Physician Assistant | 35750 Us 19 North, Palm Harbor, FL 34684 | 2016-07-27 |
| 1881052983 | Sandra Hanna | Pharmacist | 2583 Country Grove Blvd, Palm Harbor, FL 34684 | 2016-02-03 |
| 1629453469 | Jesse H Rodriguez | Nurse Practitioner | 2595 Tampa Rd. Suite S&t, Palm Harbor, FL 34684 | 2015-07-22 |
| Find all providers in zip 34684 | ||||
| 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 |
|---|---|---|---|---|
| 1457649162 | Aaron Davis | Ophthalmology | 33920 Us Highway 19 N Ste 275, Palm Harbor, FL 34684-2676 | 2011-07-14 |
| 1235391210 | William L Taldone | Ophthalmology | 123 Carlyle Cir, Palm Harbor, FL 34683-1804 | 2008-06-30 |
| 1215941943 | James Andrew Rush | Ophthalmology | 34612 Us Highway N 19, Suite 4, Palm Harbor, FL 34684 | 2006-07-28 |
| 1609894211 | Steven A Gross | Ophthalmology | 32615 U.S. 19 North, Suite 6, Palm Harbor, FL 34684 | 2006-07-18 |
| 1700803889 | Lyda D Tymiak | Ophthalmology | 2650 Tampa Rd, Palm Harbor, FL 34684-3144 | 2006-07-16 |
| 1932131018 | Harry Kolodner | Ophthalmology | 33920 Us Highway 19n, Suite 275, Palm Harbor, FL 34684-2676 | 2006-07-07 |
| 1184650970 | Nancy E Williams-wallace | Ophthalmology | 36422 Us Highway 19 N, Palm Harbor, FL 34684-1330 | 2006-06-23 |
| 1477932499 | Harbor Ophthalmology, Pllc | Ophthalmology | 33920 Us Highway 19 N, Suite #275, Palm Harbor, FL 34684-2676 | 2015-05-22 |
| 1518358837 | Harry Kolodner Md | Ophthalmology | 33920 Us Highway 19 N, Suite #275, Palm Harbor, FL 34684-2654 | 2015-02-09 |
| 1417128752 | Eyewear Studio | Ophthalmology | 2650 Tampa Rd, Palm Harbor, FL 34684 | 2008-03-14 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34684 |
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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.