DIGESTIVE DISEASE SPECIALIST OF MANATEE PL (NPI# 1174655211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174655211 |
| Entity Type | Organization |
| Organization Name | DIGESTIVE DISEASE SPECIALIST OF MANATEE PL |
| Other Organization Name | DDSOM |
| Practice Address |
5715 21st Ave W Bradenton FL 34209 |
| Mailing Address |
Po Box 15089 Bradenton FL 34280-5089 |
| Practice Telephone | 9417611800 |
| Practice Fax Number | 9417611883 |
| Mailing Telephone | 9417611800 |
| Mailing Fax Number | 9417611883 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2011-03-08 |
| Authorized Official Name | DR. RIMANTAS ZALEPUGA (MEMBER) |
| Authorized Official Telephone | 9417611800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME85682 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 6102336 | 01 |
| FL | BCBS | 74735 | 01 |
| FL | 271367500 | 05 | |
| FL | GHI | 9751349 | 01 |
| FL | RAIL ROAD MEDICARE | DC1249 | 01 |
| Other Name | Type Code |
|---|---|
| DDSOM | Doing Business As Name - Organization |
| Street Address |
5715 21ST AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093576 | Bruce Williams Trotman | Internal Medicine | 5715 21st Ave W, Bradenton, FL 34208 | 2005-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316977499 | Rimantas Zalepuga | Internal Medicine | 5715 21st Ave W #d, Bradenton, FL 34209 | 2006-07-04 |
| 1922055961 | Rosabella Shek | Internal Medicine | 5857b 21st Ave W, Bradenton, FL 34209-5641 | 2006-05-27 |
| 1750357174 | Ivan Estuardo Rascon-aguilar | Internal Medicine | 1886 59th St W, Bradenton, FL 34209-4630 | 2006-02-25 |
| 1861481475 | Marie Fazzary | Internal Medicine | 101 Riverfront Blvd Ste 700, Bradenton, FL 34205-8823 | 2005-10-17 |
| 1821093576 | Bruce Williams Trotman | Internal Medicine | 5715 21st Ave W, Bradenton, FL 34208 | 2005-06-18 |
| 1770802134 | Michael T Caire | Internal Medicine | 101 Riverfront Blvd Ste 700, Bradenton, FL 34205-8823 | 2010-05-25 |
| 1184886525 | Jennifer H Leigh | Internal Medicine | 1886 59th St W, Bradenton, FL 34209-4630 | 2008-06-26 |
| 1700089828 | Digestive Disease Specialists P L | Internal Medicine | 8340 Lakewood Ranch Blvd, Suite 101, Bradenton, FL 34202-5180 | 2007-06-06 |
| 1821153974 | Sun Coast Gi Associates | Internal Medicine | 250 2nd St E, Ste 3e, Bradenton, FL 34208 | 2006-12-27 |
| 1306931209 | Jeffrey Gretz | Internal Medicine | 11715 Rangeland Pkwy, Bradenton, FL 34211 | 2006-10-04 |
| Find all providers in BRADENTON | ||||
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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.