KENNETH W TRUSSELL DC PA (NPI# 1972812865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972812865 |
Entity Type | Organization |
Organization Name | KENNETH W TRUSSELL DC PA |
Practice Address |
113 W Robertson St Brandon FL 33511-5111 |
Practice Telephone | 8136854222 |
Mailing Telephone | 8136854222 |
Enumeration Date | 2010-09-27 |
Last Update Date | 2010-09-27 |
Authorized Official Name | DR. KENNETH W TRUSSELL (PRESIDENT/OWNER) |
Authorized Official Telephone | 8136854222 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
6246 | FL | Ambulatory Health Care Facilities |
Street Address |
113 W ROBERTSON ST |
City | BRANDON |
State | FL |
Zip Code | 33511-5111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932161205 | Kenneth Wayne Trussell | Chiropractor | 113 W Robertson St, Brandon, FL 33511-5111 | 2006-04-04 |
1730355264 | Crystal Cothern | Massage Therapist | 113 W Robertson St, Brandon, FL 33511-5111 | 2008-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
Find all providers in zip 33511 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609332071 | Midflorida Clinical Research,inc | Clinic/Center | 110 Lithia Pinecrest Rd Ste H, Brandon, FL 33511-5300 | 2019-02-11 |
1679848907 | Center for Men's Health - Brandon | Clinic/Center | 1109 Professional Park Dr, Brandon, FL 33511-4887 | 2012-03-20 |
1598911877 | George E. Wilkerson, M.d., P.a. | Clinic/Center | 348 Crossgates Blvd Ste 2300, Brandon, MS 39042-2634 | 2008-08-18 |
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1538781364 | Blue Lotus Endocrine Company Inc | Clinic/Center | 1101 E. Cumberland Ave, Ste 201h #128, Tampa, FL 33602-4231 | 2020-05-14 |
1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
1891327326 | Curative Care Center | Clinic/Center | 1978 Rockledge Blvd Ste 103, Rockledge, FL 32955-3722 | 2020-02-12 |
1427689975 | Integrity Spine & Orthopedics of Melbourne LLC | Clinic/Center | 1640 Highway A1a Ste C, Satellite Beach, FL 32937-5451 | 2020-02-03 |
1881234102 | Better Health and Rehab | Clinic/Center | 4136 Berkshire Loop, Lakeland, FL 33813-4465 | 2020-01-14 |
1578105573 | Venous Solutions of Florida Inc | Clinic/Center | 506 E Tipton Rd, Plant City, FL 33567-9373 | 2019-10-10 |
1841847597 | Premier Medical Concierge, LLC | Clinic/Center | 9655 Tamiami Trl N Ste 202, Naples, FL 34108-2796 | 2019-08-19 |
1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
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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.