MARK GREENBERG (NPI# 1205855533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205855533 |
| Entity Type | Individual |
| Full Name | MARK GREENBERG |
| Credential | MD |
| Practice Address |
12901 Bruce B Downs Blvd Tampa FL 33612-4742 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-7770 |
| Practice Telephone | 8132590904 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME58617 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 11583 | 01 |
| FL | 064887600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982793931 | Mark Rany Greenberg | Specialist | 638 N Main St, Ashland, OR 97520-1887 | 2006-10-11 |
| 1275501454 | Mark Alan Greenberg | Allergy & Immunology | 12630 Whitehall Dr, Fort Myers, FL 33907-3619 | 2006-03-14 |
| 1326011842 | Mark Greenberg | Radiology | 5133 Isabella Dr, Palm Beach Gardens, FL 33418-6708 | 2006-02-08 |
| 1124008586 | Mark L. Greenberg | Optometrist | 275 N Middletown Rd, Suite 2b, Pearl River, NY 10965-1188 | 2006-01-20 |
| 1033104666 | Mark S Greenberg | Specialist | 400 W Lbj Fwy Ste 330, Irving, TX 75063-3717 | 2005-09-20 |
| 1043219967 | Mark Louis Greenberg | Pediatrics | 727 E Bethany Home Rd, Suite A-101, Phoenix, AZ 85014-2198 | 2005-07-21 |
| 1346664109 | Mark Greenberg | Social Worker | 204 Patrick Ave, Urbana, OH 43078-2302 | 2014-02-13 |
| 1417151523 | Mark Steven Greenberg | Clinical Neuropsychologist | 82 Marlborough St, First Floor, Boston, MA 02116-2020 | 2007-06-13 |
| 1376628149 | Mark A Greenberg | Internal Medicine | Mmc - Dept. of Medicine, 111 East 210th Street, Bronx, NY 10467 | 2006-10-27 |
| 1912012147 | Mark Lee Greenberg | Dentist | 3200 S University Dr, Nsu College of Dental Medicine, Davie, FL 33328-2018 | 2006-08-20 |
| Street Address |
12901 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076799 | Gonzalo Mantilla | Pediatrics | 12901 Bruce B Downs Blvd, Mdc 15, Tampa, FL 33612-4742 | 2005-07-12 |
| 1538796784 | Samia Valeria Ozorio Dutra | Registered Nurse | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 | 2020-03-26 |
| 1255966289 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 | 2020-03-10 |
| 1487218764 | Chelsea Gebs Black | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612-4742 | 2019-04-23 |
| 1609430925 | Kathryn Elizabeth Rudibaugh | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-23 |
| 1467015883 | Thomas Cole | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 | 2019-04-22 |
| 1417510751 | Kelly Powell | Physician Assistant | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-22 |
| 1700347283 | Kristopher Johnson | Nurse Practitioner | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4799 | 2019-03-27 |
| 1366909129 | Derrik Jose Diaz Navarro | Specialist/Technologist | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4742 | 2019-02-27 |
| 1346717717 | Kyle William Woodward | Specialist/Technologist | 12901 Bruce B Downs Blvd, Tampa, FL 33612-4799 | 2018-10-24 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853584 | Brain and Spine Neuroscience Institute, LLC | Neurological Surgery | 4728 N Habana Ave Ste 202, Tampa, FL 33614-7147 | 2017-10-27 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1164702585 | Thuy Minh Nguyen | Neurological Surgery | 2727 W Doctor Martin Luther King Jr Blvd #590, Tampa, FL 33607 | 2011-08-17 |
| 1558664144 | Jorge J. Inga, M.d. P.a. | Neurological Surgery | 6701 Hanley Rd, Tampa, FL 33634-4742 | 2010-12-21 |
| 1508174038 | Ralph E Rydell, M.d.p.a. | Neurological Surgery | 5106 N Armenia Ave Ste 1, Tampa, FL 33603-1433 | 2010-09-17 |
| 1689728289 | Scott G. Cutler | Neurological Surgery | 4321 N. Macdill Ave, Suite 303, Tampa, FL 33607-6390 | 2007-01-22 |
| 1326124231 | Jorge Jaime Inga | Neurological Surgery | 6701 Hanley Road, Tampa, FL 33634-4742 | 2006-10-31 |
| 1548355779 | Terrence D Julien | Neurological Surgery | 2727 W Dr Martin Luther King Jr Blvd Ste 460, Tampa, FL 33607 | 2006-10-04 |
| 1689682825 | Ralph E Rydell | Neurological Surgery | 5106 N Armenia Avenue, Suite #1, Tampa, FL 33603 | 2006-08-03 |
| 1053344127 | Lucy C Love Md Pa | Neurological Surgery | 3000 E Fletcher Ave Ste 230, Tampa, FL 33613-4644 | 2006-07-09 |
| 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.