BRIAN KEITH POWELL (NPI# 1144432402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144432402 |
| Entity Type | Individual |
| Full Name | BRIAN KEITH POWELL |
| Credential | DO |
| Practice Address |
12420 130th Ave Largo FL 33774-1919 |
| Mailing Address |
Po Box 10549 St Petersburg FL 33733-0549 |
| Practice Telephone | 7278248181 |
| Practice Fax Number | 7275877739 |
| Mailing Telephone | 7278248181 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS12134 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5101016675 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CARE NETWORK OF MICHIGAN | 080G310660 | 01 | |
| MCLAREN HEALTH PLAN/HEALTH ADVANTAGE | 1053717 | 01 | |
| FL | 008859000 | 05 | |
| HEALTH PLUS OF MICHIGAN | 01019633 | 01 | |
| MOLINA HEALTHCARE OF MICHIGAN | 1144432402 | 01 | |
| CARE SOURCE OF MICHIGAN | 381908328-435 | 01 | |
| HEALTH PLAN OF MICHIGAN | 54684 | 01 | |
| AETNA UNDER | 381908328 | 01 | |
| MI | 1144432402 | 05 | |
| PRIORITY HEALTH OF MICHIGAN | 381908328 | 01 | |
| BCBS OF MICHIGAN | 080G310660 | 01 | |
| GREAT LAKES HEALTH PLAN OF MI | 176125 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580152 | Brian Powell | Specialist/Technologist | 281 Simpson Rd, Marlborough, MA 01752-6507 | 2019-10-24 |
| 1437371663 | Brian Matthew Powell | Physician Assistant | 740 S Amy Ln, Ste 101, Harker Heights, TX 76548-1343 | 2007-05-03 |
| 1245274620 | Brian Powell | Optometrist | 969 Main St Ste H, Fishkill, NY 12524-1791 | 2006-06-15 |
| 1306810601 | Brian M Powell | Physical Therapist | 8757 Mylander Ln, Towson, MD 21286-2102 | 2006-02-14 |
| 1316454861 | Brian Powell | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2018-01-05 |
| 1790234250 | Brian James Powell | Nurse Anesthetist, Certified Registered | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2016-09-26 |
| 1225422330 | Brian Powell | General Practice | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2015-03-26 |
| 1518239474 | Brian S. Powell | Physician Assistant | 1932 Alcoa Hwy Ste 360, Knoxville, TN 37920-1509 | 2012-02-07 |
| 1194011130 | Brian D Powell | Orthopaedic Surgery | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2011-06-28 |
| 1952375909 | Brian Powell | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2006-02-15 |
| Street Address |
12420 130TH AVE |
| City | LARGO |
| State | FL |
| Zip Code | 33774-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319976 | Community Health Center of Pinellas Inc | Family Medicine | 12420 130th Ave, Largo, FL 33774-1950 | 2006-01-03 |
| 1912252297 | James Joseph Uliasz | Case Manager/Care Coordinator | 12420 130th Ave, Largo, FL 33774-1919 | 2012-07-23 |
| 1043317332 | James R Jones | Family Medicine | 12420 130th Ave, Largo, FL 33774-1919 | 2006-09-20 |
| 1891756094 | Stacey Marie Golden | Dentist | 12420 130th Ave, Largo, FL 33774-1950 | 2006-03-29 |
| 1215996384 | Sharon Lou Engelman | Dentist | 12420 130th Ave, Largo, FL 33774-1950 | 2006-03-18 |
| 1518936608 | Marilyn Lea Carr | Nurse Practitioner | 12420 130th Ave, Largo, FL 33774-1950 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1588998488 | Village Family Practice | Family Medicine | 8250 Bryan Dairy Rd Ste 300, Largo, FL 33777-1356 | 2009-09-24 |
| 1255569943 | Zozan Al Saadi | Family Medicine | 7050 Ulmerton Rd, Largo, FL 33771 | 2009-07-01 |
| 1063665867 | East Bay Family Practice LLC | Family Medicine | 3387 3391 Easy Bay Drive, Largo, FL 33771 | 2008-10-24 |
| 1841470952 | Gabriel A Decandido Pa | Family Medicine | 8005 Ulmerton Rd, Largo, FL 33771-3971 | 2007-11-06 |
| 1255530382 | Jaimie Louise Mickey | Family Medicine | 13117 66th St, Largo, FL 33773-1812 | 2007-07-18 |
| 1881801140 | Moneer M. Mansour,md.pa | Family Medicine | 8787 Bryan Dairy Rd Ste 330, Largo, FL 33777-1260 | 2007-05-17 |
| 1194858969 | Snyder Family Medicine Pa | Family Medicine | 1042 Belcher Rd S, Largo, FL 33771-3316 | 2007-03-13 |
| 1801926001 | Kirsten Lea Cooper | Family Medicine | 13220 Starkey Rd Ste 500, Largo, FL 33773-1446 | 2007-03-06 |
| 1467515221 | Sun Coast Hospital Inc | Family Medicine | 1559 Indian Rocks Rd S, Largo, FL 33770-4542 | 2006-12-19 |
| Find all providers in LARGO | ||||
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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.