PETER B MCKERNAN MD DDS PA (NPI# 1194993113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194993113 |
| Entity Type | Organization |
| Organization Name | PETER B MCKERNAN MD DDS PA |
| Other Organization Name | EAR NOSE AND THROAT ASSOCIATES |
| Practice Address |
6101 Webb Rd Suite 211 Tampa FL 33615-2872 |
| Practice Telephone | 8138844967 |
| Practice Fax Number | 8138890847 |
| Mailing Telephone | 8138844967 |
| Mailing Fax Number | 8138890847 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | DR. PETER BRIAN MCKERNAN (PHYSICIAN) |
| Authorized Official Telephone | 8138844967 |
| Authorized Official Credential | MD DDS PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ear Nose and Throat Associates | Doing Business As Name - Organization |
| Street Address |
6101 WEBB RD SUITE 211 |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477538890 | Tania Paquin Lozano | Internal Medicine | 6101 Webb Rd, Ste 202, Tampa, FL 33615-2872 | 2005-12-08 |
| 1659821387 | Jeffrey D Mills | Audiologist | 6101 Webb Rd, Ste 211, Tampa, FL 33615-2872 | 2016-10-05 |
| 1871946327 | Kathleen M Lauritano | Family Medicine | 6101 Webb Rd, Suite 203, Tampa, FL 33615-2872 | 2016-07-20 |
| 1952797920 | Tampa Bay Neurology Inc | Psychiatry & Neurology | 6101 Webb Rd, Suite 203, Tampa, FL 33615-2872 | 2015-04-07 |
| 1942603667 | Jose Ignacio Lopez, Md., Pa | Internal Medicine | 6101 Webb Rd, Suite 209, Tampa, FL 33615-2872 | 2014-10-08 |
| 1508105271 | Alyson Teresa Morgans | Audiologist | 6101 Webb Rd, Suite 211, Tampa, FL 33615-2872 | 2013-01-31 |
| 1861748816 | Blanca A Cabrera | Massage Therapist | 6101 Webb Rd, 310, Tampa, FL 33615-2872 | 2012-07-27 |
| 1801195532 | Premier Racing Institue | Clinic/Center | 6101 Webb Rd, Suite 109, Tampa, FL 33615-2872 | 2011-03-21 |
| 1982927075 | Hernan D Giraldo Md Pa | Internal Medicine | 6101 Webb Rd, Suite 208, Tampa, FL 33615-2872 | 2010-03-04 |
| 1508095175 | Mextli Lermont-ortiz | Physician Assistant | 6101 Webb Rd, Tampa, FL 33615-2872 | 2009-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285953679 | Matthew J Mifsud | Otolaryngology | 2 Tampa General Cir Fl Circle2, Tampa, FL 33606-3603 | 2010-05-25 |
| 1801124839 | Martin Joseph Adelman | Otolaryngology | 16307 Avila Blvd, Tampa, FL 33613-1000 | 2009-12-02 |
| 1942473921 | Kathleen A Macisaac | Otolaryngology | 4320 S Manhattan Ave, Tampa, FL 33611-1304 | 2008-04-10 |
| 1528273455 | Michael James Butler | Otolaryngology | 6432 Renwick Cir, Tampa, FL 33647-1172 | 2007-05-14 |
| 1215019179 | Jonathan Lyons Chadwick | Otolaryngology | 4714 N Armenia Ave Ste 200, Tampa, FL 33603-2603 | 2006-10-20 |
| 1972530616 | Warren S. Goldstein | Otolaryngology | 7425 Monika Manor Dr, Tampa, FL 33625-5814 | 2006-06-27 |
| 1487680856 | Douglas William Klotch | Otolaryngology | 3450 E Fletcher Avenue, Suite 260, Tampa, FL 33613 | 2006-06-25 |
| 1164469151 | George Blake M.d., P.a. | Otolaryngology | 605 S Fremont Ave, Suite A, Tampa, FL 33606-2479 | 2006-05-31 |
| 1821049826 | Amanollah -- Tabesh | Otolaryngology | 7001 N Dale Mabry Hwy, Suite # 3, Tampa, FL 33614-3910 | 2006-05-14 |
| 1437143104 | Lance R Meyerson | Otolaryngology | 12500 N Dale Mabry Hwy Ste F, Tampa, FL 33618-2809 | 2005-09-08 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on PETER B MCKERNAN MD DDS PA.
| 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.