BRENT C DILTS (NPI# 1992939490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992939490 |
| Entity Type | Individual |
| Full Name | BRENT C DILTS |
| Credential | MD |
| Practice Address |
7550 N Dale Mabry Hwy Ste B Tampa FL 33614 |
| Mailing Address |
1340 Broad Ave Ste 450 Gulfport MS 39501-2460 |
| Practice Telephone | 8133882948 |
| Practice Fax Number | 8132490821 |
| Mailing Telephone | 8133882948 |
| Mailing Fax Number | 8133886827 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD.205224 | LA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
23747 | MS | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME137791 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13140 Elk Mountain Dr Ste B, Riverview, FL 335797182 | 8133882948 | 8135747761 |
| Street Address |
7550 N DALE MABRY HWY STE B |
| City | TAMPA |
| State | FL |
| Zip Code | 33614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346886033 | Spine and Orthopedic Specialists of Tampa, LLC | Anesthesiology | 6919 N Dale Mabry Hwy Ste 325, Tampa, FL 33614-3860 | 2019-11-18 |
| 1023496452 | Acute Pain Speciialists LLC | Anesthesiology | 13301 W Hillsborough Ave, Suite 201, Tampa, FL 33635-9676 | 2015-05-18 |
| 1578804407 | Universal Pain Specialists Inc | Anesthesiology | 8318 North Habana Avenue, Tampa, FL 33614 | 2013-03-01 |
| 1508101296 | Tampa Interventional Spine Physicians LLC | Anesthesiology | 1000 W Kennedy Blvd, Suite 201, Tampa, FL 33606-1940 | 2012-12-06 |
| 1760780985 | Npr Anesthesia Services, LLC | Anesthesiology | 5501 W Gray St, Tampa, FL 33609-1007 | 2011-03-11 |
| 1548588916 | Muhammad Atallah | Anesthesiology | 3869 S. Lake Dr., 146, Tampa, FL 33614 | 2010-05-11 |
| 1053647545 | American Well Care, Inc. | Anesthesiology | 6802 N. Armenia Ave, Tampa, FL 33604 | 2009-10-19 |
| 1376618470 | Stanley Robert Dennison Jr. | Anesthesiology | 1921 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6509 | 2006-11-22 |
| 1861582249 | Edward Norman | Anesthesiology | 7171 N. Dale Mabry Highway, Tampa, FL 33614-2670 | 2006-10-13 |
| 1235227026 | Pain Institute of Tampa Bay Plc | Anesthesiology | 15303 Amberly Dr Ste A, Tampa, FL 33647-2308 | 2006-10-10 |
| Find all providers in TAMPA | ||||
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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.