MR. JOHN WILLIAM DEMETREE (NPI# 1962474437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962474437 |
| Entity Type | Individual |
| Full Name | MR. JOHN WILLIAM DEMETREE |
| Credential | MD |
| Practice Address |
1312 Riverview Cir Bradenton FL 34209-1257 |
| Practice Telephone | 9417922007 |
| Practice Fax Number | 9417922007 |
| Mailing Telephone | 9417922007 |
| Mailing Fax Number | 9417922007 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2012-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME0033525 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 406073299 | 01 |
| Street Address |
1312 RIVERVIEW CIR |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| 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 |
|---|---|---|---|---|
| 1770837189 | Puja Ramji Kathrotiya | Dermatology | 4351 Cortez Rd W Ste 101, Bradenton, FL 34210-3140 | 2012-11-07 |
| 1750600359 | Kate R Gerber | Dermatology | 5301 4th Avenue Cir E, Bradenton, FL 34208-5623 | 2010-05-20 |
| 1669534012 | Beatrice Jennifer Berkes | Dermatology | 702 Manatee Ave W, Bradenton, FL 34205-8663 | 2006-12-14 |
| 1568474344 | Peter J Mattina | Dermatology | 800 39th St W, Bradenton, FL 34205-2456 | 2006-08-12 |
| 1548225329 | Jeffrey S. Beard, M.d.,p.a. | Dermatology | 1416 59th St W, Bradenton, FL 34209-4607 | 2006-04-18 |
| 1316934714 | Jack C Jawitz | Dermatology | 2919 26th St W, Bradenton, FL 34205-3737 | 2005-09-30 |
| 1710432828 | Dahlia Saleh | Dermatology | 4351 Cortez Rd W Ste 101, Bradenton, FL 34210-3215 | 2016-08-18 |
| 1275952780 | Taylor Lloyd Dodgen | Dermatology | 11715 Rangeland Pkwy, Bradenton, FL 34211 | 2014-04-11 |
| 1801191101 | Leavitt Medical Associates of Florida Inc | Dermatology | 2902 59th St W, Suite A, Bradenton, FL 34209-7023 | 2011-01-18 |
| 1093017774 | Brooks Management | Dermatology | 2919 26th St W, Bradenton, FL 34205-3737 | 2010-12-01 |
| Find all providers in BRADENTON | ||||
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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.