PASCO HERNANDO HMA PHYSICIAN MANAGEMENT, LLC (NPI# 1003848359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003848359 |
| Entity Type | Organization |
| Organization Name | PASCO HERNANDO HMA PHYSICIAN MANAGEMENT, LLC |
| Practice Address |
13933 17th St Suite 101 Dade City FL 33525-4604 |
| Practice Telephone | 3525676763 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | MR. MICHAEL A SWAW (DIRECTOR) |
| Authorized Official Telephone | 6157788076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 277058000 | 05 | |
| FL | BCBS | 00009 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982901260 | Pasco Hernando Hma Physician Management, LLC | Obstetrics & Gynecology | 6719 Gall Blvd, Suite 202, Zephyrhills, FL 33542-2571 | 2011-02-22 |
| Street Address |
13933 17TH ST SUITE 101 |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171786 | Lee Jay Grossbard | Surgery | 13933 17th St, Suite 200, Dade City, FL 33525-4604 | 2005-08-16 |
| 1467802892 | Mark Christopher Roque | Nurse Practitioner | 13933 17th St, Suite 101, Dade City, FL 33525-4604 | 2016-06-16 |
| 1043543655 | Dade City Urgent Care Center Pllc | Clinic/Center | 13933 17th St, Dade City, FL 33525-4603 | 2009-09-14 |
| 1023238284 | Mcbath Medical Center Pa | Family Medicine | 13933 17th St, Ste: 101, Dade City, FL 33525-4603 | 2007-04-27 |
| 1093896367 | David Michael Lustig | Urology | 13933 17th St, Suite 201, Dade City, FL 33525-4604 | 2006-10-17 |
| 1508852351 | Carl S Werne | Emergency Medicine | 13933 17th St, Suite 101, Dade City, FL 33525-4604 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679723431 | Verssa Womens Center Pa | Obstetrics & Gynecology | 36739 State Road 52, Suite 101, Dade City, FL 33525-5101 | 2008-09-29 |
| 1295749455 | Jennifer R Roller | Obstetrics & Gynecology | 36739 Sr 52, Suite 101, Dade City, FL 33525-5101 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884081 | Radiance Center for Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 653 E Jackson St, Orlando, FL 32801-2809 | 2020-09-02 |
| 1689282162 | Healing Hands Healthcare Services, LLC | Obstetrics & Gynecology | 1900 N Bayshore Dr Apt 2411, Miami, FL 33132-3012 | 2020-07-21 |
| 1790306256 | Mia Donna LLC | Obstetrics & Gynecology | 7100 W 20th Ave Ste 304, Hialeah, FL 33016-1812 | 2020-05-06 |
| 1386265254 | Swfl Integrative Medicine, P.a. | Obstetrics & Gynecology | 1570 Colonial Blvd Ste A, Fort Myers, FL 33907-1031 | 2020-05-02 |
| 1134740061 | Horizon Family Medical Practice LLC | Obstetrics & Gynecology | 1236 Royal Palm Beach Blvd Ste 108, Royal Palm Beach, FL 33411-1602 | 2020-05-01 |
| 1689209991 | Earl Brewster Md Pa | Obstetrics & Gynecology | 101 N 8th St Ste 1001, Lake Mary, FL 32746-3101 | 2020-03-06 |
| 1386276319 | Robert Suruncle Pllc | Obstetrics & Gynecology | 8255 N Wickham Rd Ste 102, Melbourne, FL 32940-8202 | 2020-02-07 |
| 1376182329 | Moment Health Care Inc | Obstetrics & Gynecology | 6464 N Miami Ave, Miami, FL 33150-4520 | 2019-12-21 |
| 1043858012 | Medical Vitality Clinic LLC | Obstetrics & Gynecology | 1845 Cordova Rd Ste 204, Fort Lauderdale, FL 33316-6100 | 2019-12-20 |
| 1679124986 | Brenda Sison Wilkinson | Obstetrics & Gynecology | 2050 Ackola Pt, Longwood, FL 32779-3112 | 2019-09-27 |
| Find all providers with the same taxonomy | ||||
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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.