DR. CHARLEEN L. ISE (NPI# 1053427716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053427716 |
| Entity Type | Individual |
| Full Name | DR. CHARLEEN L. ISE |
| Credential | MD |
| Practice Address |
1120 Pinellas Bayway Ste 200 Tierra Verde FL 33715-1505 |
| Mailing Address |
Po Box 530968 St Petersburg FL 33747-0968 |
| Practice Telephone | 7278675480 |
| Practice Fax Number | 7278675470 |
| Mailing Telephone | 7278232188 |
| Mailing Fax Number | 7278280723 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
ME0055512 | FL | Allopathic & Osteopathic Physicians |
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
ME55512 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 09781 | 01 |
| FL | 061978700 | 05 | |
| RAILROAD MEDICARE | P00306082 | 01 | |
| AVMED | 267080 | 01 | |
| AETNA | 4045500 | 01 | |
| EVERCARE | 0100444 | 01 |
| Street Address |
1120 PINELLAS BAYWAY STE 200 |
| City | TIERRA VERDE |
| State | FL |
| Zip Code | 33715-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009831 | National Ancillary Network Solutions, LLC | Point of Service | 1117 Pinellas Bayway S. #307, St. Petersburg, FL 33715 | 2020-07-06 |
| 1376070110 | Ashley Smith | Physical Therapist | 5901 Sun Blvd Ste 110, St Petersburg, FL 33715 | 2017-05-11 |
| 1083028146 | Dianne Kathleen Stinger-saldarriaga | Physical Therapist | 5870 51st St S, St Petersburg, FL 33715 | 2014-06-17 |
| 1376862904 | Susan Beth Marcus | Specialist | 719 Pinellas Bayway S, Unit 201, Tierra Verde, FL 33715 | 2010-05-21 |
| 1366404915 | Rachael Anne Haskell | Social Worker | 6177 Sun Blvd, #404, St Petersburg, FL 33715 | 2006-04-06 |
| 1346607116 | Inna Anderson | Nurse Practitioner | 6294 Bahia Del Mar Cir Apt 401, Unit 401, St Petersburg, FL 33715-1086 | 2016-01-25 |
| 1790825453 | David Kazimierz Koszyk | Physical Therapist | 6294 Bahia Del Mar Cir Apt 215, St Petersburg, FL 33715-1088 | 2007-02-08 |
| 1366955205 | Kathy S Buell | Social Worker | 6177 Sun Blvd Apt 404, Saint Petersburg, FL 33715-1146 | 2017-11-14 |
| 1316451040 | Rachael Haskell Phd Resolution Today | Social Worker | 6177 Sun Blvd Apt 404, Saint Petersburg, FL 33715-1146 | 2017-11-16 |
| 1225505571 | Williamsmd LLC | Internal Medicine | 5901 Sun Blvd Ste 206, St Petersburg, FL 33715-1161 | 2018-10-25 |
| Find all providers in zip 33715 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659259 | Hyperbaric Associates of South Florida LLC | Preventive Medicine | 2866 E Oakland Park Blvd Ste 100, Ft Lauderdale, FL 33306-1815 | 2019-09-27 |
| 1780081034 | Hypermed, LLC | Preventive Medicine | 11501 Hutchison Blvd, Suite 109, Panama City Beach, FL 32407-3746 | 2014-12-02 |
| 1447536305 | Eliot Slater | Preventive Medicine | 2866 E Oakland Park Blvd, Ft Lauderdale, FL 33306-1814 | 2011-10-24 |
| 1386958114 | Arnold H. Bierman | Preventive Medicine | 6200 Lee Vista Blvd, Suite 250, Orlando, FL 32822-5147 | 2010-08-04 |
| 1609015544 | Brianne Luisa Peterson | Preventive Medicine | 5220 Belfort Rd Ste 130, Jacksonville, FL 32256-6018 | 2009-02-17 |
| 1548435969 | Richard Fontanez Aldea | Preventive Medicine | 809 Cr 466, C-201, Lady Lake, FL 32159 | 2008-04-27 |
| 1629120373 | Paul W. Buza | Preventive Medicine | 1698 W. Hibiscus Blvd., Brevard Regional Hyperbaric Center, Melbourne, FL 32901 | 2007-01-16 |
| 1730242868 | Patrick Joseph Hennessey | Preventive Medicine | 321 Bullfinch Rd, Panama City, FL 32407-7012 | 2006-12-19 |
| 1235148743 | Allan M Spiegel | Preventive Medicine | 31608 Us 19 North, Palm Harbor, FL 34684 | 2006-08-05 |
| 1902833569 | Lenka Zachar | Preventive Medicine | 3 Shircliff Way Ste 520, Jacksonville, FL 32204-4777 | 2006-06-27 |
| Find all providers with the same taxonomy | ||||
| City | TIERRA VERDE |
| Zip Code | 33715 |
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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.