DR. JERRY POKLEPOVIC (NPI# 1083673370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083673370 |
| Entity Type | Individual |
| Full Name | DR. JERRY POKLEPOVIC |
| Credential | MD |
| Practice Address |
2700 University Square Drive Radiology Associates of Tampa Tampa FL 33612-5513 |
| Practice Telephone | 8132515822 |
| Mailing Telephone | 8132515822 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME20386 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 118707 | 05 | |
| FL | 066614900 | 05 |
| Street Address |
2700 UNIVERSITY SQUARE DRIVE RADIOLOGY ASSOCIATES OF TAMPA |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336108729 | Rajendra Padmakar Kedar | Radiology | 2700 University Square Drive, Radiology Associates of Tampa, Tampa, FL 33612-5513 | 2006-03-22 |
| 1437351988 | Radiology Associates of Tampa Pa | Nuclear Medicine | 2700 University Square Drive, Tampa, FL 33612-5513 | 2007-06-05 |
| 1194927988 | Tower Open Scan Mri LLC | Radiology | 2700 University Square Drive, Tower Open Scan Mri LLC, Tampa, FL 33612-5513 | 2007-06-04 |
| 1467654244 | Tower Imaging LLC | Radiology | 2700 University Square Drive, Tower Imaging Inc, Tampa, FL 33612-5513 | 2007-06-04 |
| 1659476794 | Jeffrey Andrew Gage | Radiology | 2700 University Square Drive, Radiology Associates of Tampa, Tampa, FL 33612-5513 | 2006-09-13 |
| 1902859457 | Samuel Alan Shube | Radiology | 2700 University Square Drive, Radiology Associates of Tampa, Tampa, FL 33612-5513 | 2006-05-18 |
| 1225098205 | Scott Robert Anderson | Radiology | 2700 University Square Drive, Radiology Associates of Tampa, Tampa, FL 33612-5513 | 2006-03-24 |
| 1912966318 | Bharatkumar Umedbhai Patel | Radiology | 2700 University Square Drive, Radiology Associates of Tampa, Tampa, FL 33612-5513 | 2006-03-23 |
| 1649239054 | Laurence Shane Grundy | Radiology | 2700 University Square Drive, Radiology Associates of Tampa, Tampa, FL 33612-5513 | 2006-03-23 |
| 1629037023 | Raul Rogelio Otero | Radiology | 2700 University Square Drive, Radiology Associates of Tampa, Tampa, FL 33612-5513 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834763 | Tower Imaging LLC | Radiology | 17416 Brookside Trace Ct., Tampa, FL 33647-3589 | 2020-09-01 |
| 1366067712 | Baycare Outpatient Imaging LLC | Radiology | 711 S Dale Mabry Hwy, Tampa, FL 33609-4445 | 2020-06-11 |
| 1306482088 | Michael P. Flynn | Radiology | 1003 Bay Harbour Place, Tampa, FL 33602 | 2019-11-18 |
| 1528526977 | Raddoctor, Pa | Radiology | 9203 Pine Island Ct, Tampa, FL 33647-2301 | 2019-03-05 |
| 1588023261 | Florida Gulfcoast Medical Imaging LLC | Radiology | 9822 Tree Tops Lake Rd, Tampa, FL 33626-4764 | 2016-02-23 |
| 1063803302 | Ahmed Sherif | Radiology | 2 Tampa General Cir # 7035, Usf Dept of Radiology, South Tampa Center, Tampa, FL 33606-3603 | 2015-02-09 |
| 1780015297 | St. Joseph's Diagnostic Center, LLC. | Radiology | 2222 W Swann Ave, Tampa, FL 33606-2426 | 2013-12-09 |
| 1245576651 | Radiology Associates of Tampa Pa | Radiology | 5 Tampa General Cir Ste 800, Harborside Medical Clinic, Tampa, FL 33606-3601 | 2012-12-13 |
| 1427282151 | Eric Matthew Lenz | Radiology | 3004 W San Miguel St, Tampa, FL 33629-6043 | 2009-05-09 |
| 1699929380 | Charles Howard Fisher | Radiology | 4904 Andros Dr, Tampa, FL 33629-4802 | 2008-11-09 |
| 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.