DR. DAVID ANTHONY SOPER (NPI# 1043309586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043309586 |
| Entity Type | Individual |
| Full Name | DR. DAVID ANTHONY SOPER |
| Credential | PH.D., HSPP |
| Practice Address |
340 Magnolia Cir Tyndall Afb FL 32403-5604 |
| Mailing Address |
2813 State Ave Panama City FL 32405-4325 |
| Practice Telephone | 8502837511 |
| Mailing Telephone | 3176262462 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
20040752A | IN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY9783 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063527513 | David Edward Soper | Obstetrics & Gynecology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-21 |
| 1114922929 | David H Soper | Personal Emergency Response Attendant | 2015 Jackson St, Anderson, IN 46016 | 2005-06-17 |
| Street Address |
340 MAGNOLIA CIR |
| City | TYNDALL AFB |
| State | FL |
| Zip Code | 32403-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335319 | Scott Mckim | Optometrist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2005-09-07 |
| 1215577127 | Sherri Lynn Kelley | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2020-01-08 |
| 1285275180 | Tyrome Laron Brown Jr. | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2019-10-01 |
| 1528542297 | Mara Sturk | Psychologist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2018-09-19 |
| 1619488806 | Clairissa Bradford | Social Worker | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2017-10-16 |
| 1205371069 | Sarah Woodside | Surgery | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2017-01-03 |
| 1982053617 | Zachary Flink | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-06-03 |
| 1861853533 | Jessica M Barton | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-03-09 |
| 1841668001 | David Morse | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403 | 2015-09-04 |
| 1083096838 | Christopher Davis IIi | Physician Assistant | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2015-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326408063 | Nathaniel Criddle | Dentist | 325 Aerospace Medicine Sq/sgpd, 340 Magnolia Circle Bldg 1465, Tyndall Afb, FL 32403 | 2016-02-23 |
| 1952730491 | Erick Laron Jackson | Physical Therapist | 325 Mdg/physical Therapy, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2013-11-05 |
| 1972830701 | Quan Tram | Pharmacist | 340 Magnolia Cirlcle, Tyndall Afb, FL 32403 | 2009-11-16 |
| 1952473308 | Robert Allen Frick | Family Medicine | 325th Medical Group 340 Magnolia Circle, Tyndall Afb, Panama City, FL 32403 | 2006-11-14 |
| 1285733907 | 325th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Magnolia Circle, Tyndall Afb, FL 32403 | 2006-09-21 |
| 1093737272 | Walter Edward Calvo | Social Worker | Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-07-24 |
| 1790727865 | Michelle Gautreaux | Nutritionist | 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2006-06-12 |
| 1568436962 | 325 Mdg | Psychologist | 325 Mdg Bldg, 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1780658005 | Brant Casford | Radiology | 325 Mdg/sgsar Radiology, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1215911573 | Rama Bhyravabhotla | Physician Assistant | 325 Mdos/sgomf, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2005-12-01 |
| Find all providers in zip 32403 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528542297 | Mara Sturk | Psychologist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2018-09-19 |
| 1629476007 | Rebecca Morris-davis | Psychologist | 340 Magnolia Cir Bldg 1404, Tyndall Afb, FL 32403-5604 | 2014-12-16 |
| 1053677054 | Janet Mcewan | Psychologist | 340 Magnolia Cir, Tyndall Afb, FL 32403 | 2012-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | TYNDALL AFB |
| Zip Code | 32403 |
Please comment or provide details below to improve the information on DR. DAVID ANTHONY SOPER.
| 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.