MR. SHAWN HARLAND (NPI# 1104861335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104861335 |
Entity Type | Individual |
Full Name | MR. SHAWN HARLAND |
Credential | PA-C |
Practice Address |
8415 Bayshore Blvd Tampa FL 33621-1607 |
Mailing Address |
27616 Kirkwood Cir Wesley Chapel FL 33543-8724 |
Practice Telephone | 8138279861 |
Enumeration Date | 2006-06-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-3071 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 2916363 | 05 |
Street Address |
8415 BAYSHORE BLVD |
City | TAMPA |
State | FL |
Zip Code | 33621-1607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972597375 | Sylvan Howard Riker | Family Medicine | 8415 Bayshore Blvd, 6mdg, Tampa, FL 33621-1607 | 2005-08-31 |
1144451857 | John Dallas Leeah | Spec/Tech, Pathology | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-07-29 |
1023248275 | Thomas Stuart Herman | Otolaryngology | 8415 Bayshore Blvd, Mdos/sgosl, Tampa, FL 33621-1607 | 2009-07-22 |
1538397898 | Nicole Gonzalez | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-06-25 |
1184851529 | Angela Noel Messer | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-06-12 |
1508091778 | Cynthia Marie Milanese | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-05-18 |
1184868861 | Christopher Lawson | Military Health Care Provider | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2009-04-27 |
1083850135 | Adrian Lee Avalos | Physician Assistant | 8415 Bayshore Blvd, Family Practice - Patriot Clinic, Tampa, FL 33621-1607 | 2008-12-19 |
1164675070 | 6 Medical Group | Military Hospital | 8415 Bayshore Blvd, Macdill Base, Tampa, FL 33621 | 2008-10-23 |
1396941597 | Ernestine R Harris | Counselor | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2007-06-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
1922407659 | Michelle Lind | Social Worker | 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 | 2014-08-19 |
1588932768 | Katherine Holmes | Physician Assistant | 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2011-12-02 |
1558378273 | Graeme Charles Bicknell | Social Worker | 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 | 2006-08-02 |
1659346146 | Laura Umfer | Psychologist | 4515 Bayshore Blvd, Tampa, FL 33621 | 2006-02-20 |
1205808516 | Kenneth Joseph Baron | Physician Assistant | 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 | 2006-02-02 |
1760478044 | Michael Glenn Hodges | Family Medicine | 3250 Zerkle Avenue, Macdill Afb, FL 33621 | 2005-09-22 |
1003801242 | Heather Ann Newman | Nurse Anesthetist, Certified Registered | 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 | 2005-09-14 |
1861486789 | Daniel N. Park | Physician Assistant | Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2005-09-07 |
1811374002 | Sara Bender | Social Worker | 3250 Zemke Ave, Tampa, FL 33621 | 2015-04-27 |
Find all providers in zip 33621 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336762046 | Samantha Martin | Physician Assistant | 12950 Race Track Rd Ste 106, Tampa, FL 33626-1304 | 2020-05-28 |
1124648159 | Christian Otero | Physician Assistant | 311 W Palm Ave, Tampa, FL 33602-2029 | 2020-04-20 |
1487219036 | Vanessa Natasha White | Physician Assistant | 10205 W Hillsborough Ave Ste B, Tampa, FL 33615-3671 | 2019-05-08 |
1518520873 | Zachary Luke Ulshafer | Physician Assistant | 12901 Bruce B Downs Blvd # 05, Tampa, FL 33612-4742 | 2019-04-22 |
1548756893 | Christopher Jacob Bordelon | Physician Assistant | 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL 33607-6302 | 2018-07-10 |
1871033340 | Amanda Lins Chissell | Physician Assistant | 13801 Bruce B Downs Blvd Ste 231, Tampa, FL 33613-3946 | 2017-03-03 |
1669839767 | Barbara N Vargas | Physician Assistant | 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618-2809 | 2016-01-20 |
1215305776 | Amber Lubas | Physician Assistant | 401 N Rome Ave, Apt: 4314, Tampa, FL 33606-0009 | 2015-09-14 |
1972988467 | Karla Michelle Mincone | Physician Assistant | 3040 W Cypress St # 103, Tampa, FL 33609-1615 | 2015-07-25 |
1326441767 | Brigett Brandjes | Physician Assistant | 2902 Usf Magnolia Drive, Tampa, FL 33612 | 2014-09-30 |
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.