DR. DIMITRI NOVITZKY (NPI# 1215972526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215972526 |
| Entity Type | Individual |
| Full Name | DR. DIMITRI NOVITZKY |
| Credential | MD |
| Practice Address |
1001 N Macdill Ave Ste B Tampa FL 33607 |
| Mailing Address |
4407 Vieux Carre Cir Tampa FL 33613-3052 |
| Practice Telephone | 8136754849 |
| Mailing Telephone | 8133905344 |
| Mailing Fax Number | 3867741264 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2019-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ME61367 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 064781100 | 05 | |
| MEDICARE NPI | 1215972526 | 01 | |
| FL | BLUE CROSS BLUE SHIELD | 11642 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 N Macdill Ave Ste B, Tampa, FL 33607 | 8136754849 | |
| 5 Tampa General Cir, Suite 725, Tampa, FL 336063601 | 8134020654 | 8134020661 |
| Street Address |
1001 N MACDILL AVE STE B |
| City | TAMPA |
| State | FL |
| Zip Code | 33607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962908525 | Fancy Feet Podiatry Pa | Clinic/Center | 1001 N Macdill Ave Ste B, Tampa, FL 33607-5152 | 2018-04-03 |
| 1154332021 | Catherine Stanimirov | Podiatrist | 1001 N Macdill Ave Ste B, Tampa, FL 33607-5152 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
| 1477832848 | Florida Care Centers, Inc | Family Medicine | 7208 N. Sterling Avenue, Tampa, FL 33614 | 2011-08-16 |
| 1659672236 | Vijay Diwadkar,m.d.pa | Family Medicine | 701 W M.l.king Jr. Blvd., Suite 3, Tampa, FL 33603-3100 | 2010-11-12 |
| 1730238247 | Bartly Allen Storey | Family Medicine | 1523 W Hillsborough Ave, Tampa, FL 33603-1207 | 2007-01-10 |
| 1861581720 | Vijay Waman Diwadkar | Family Medicine | 701 W. Mlk Jr. Blvd., Suite #3, Tampa, FL 33603-3100 | 2006-10-11 |
| 1083623847 | Mark G Kantzler | Family Medicine | 1155 S Dale Mabry Hwy, #19, Tampa, FL 33629-5035 | 2006-08-07 |
| 1851948996 | Luz Angela Soto | Family Medicine | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2019-08-22 |
| 1255865622 | Huy Duc Nguyen | Family Medicine | 2605 W Swann Ave Ste 100, Tampa, FL 33609-4039 | 2017-04-12 |
| 1386880318 | Henry A Odukomaiya Md Pa | Family Medicine | 3228 Cove Bend Dr, Tampa, FL 33613-2752 | 2008-12-22 |
| 1467645093 | Harvey Zale Hoffman | Family Medicine | 520 Falkenburg Rd, Tampa, FL 33619-7884 | 2007-08-27 |
| 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.