DR. TOMMY LEE LOUISVILLE (NPI# 1225139496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225139496 |
| Entity Type | Individual |
| Full Name | DR. TOMMY LEE LOUISVILLE |
| Credential | M.D. |
| Practice Address |
1801 Crystal Lake Dr Lakeland FL 33801 |
| Mailing Address |
1801 Crystal Lake Dr Lakeland FL 33801-5979 |
| Practice Telephone | 8632998485 |
| Practice Fax Number | 8632938450 |
| Mailing Telephone | 8632998485 |
| Mailing Fax Number | 8632938450 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2019-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME37525 | FL | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 320 1st St S, Winter Haven, FL 338803501 | 8632998485 | 8632938450 |
| 1801 Crystal Lake Dr, Lakeland, FL 33801 | 8639378886 | 8639378892 |
| 1023 Us 27 S, Avon Park, FL 33825 | 8634522980 | 8634522587 |
| 221 Old Spanish Way, Winter Haven, FL 33884 | 8633269326 |
| Street Address |
1801 CRYSTAL LAKE DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259569 | Basil Alexander Wilson | Nurse Practitioner | 1801 Crystal Lake Dr, Lakeland, FL 33801-5979 | 2005-07-20 |
| 1538781026 | Jessica Turner | Counselor | 1801 Crystal Lake Dr, Lakeland, FL 33801-5979 | 2020-05-07 |
| 1295143295 | Tommy L Louisville Md Pa | Non-Pharmacy Dispensing Site | 1801 Crystal Lake Dr, Lakeland, FL 33801-5979 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1962867838 | Amanda Bennett | Specialist | 705 Central Parke Cir Apt 208, Lakeland, FL 33805-9590 | 2015-12-21 |
| 1730512252 | Tampa Obstetrics, P.a. | Specialist | 1525 Lakeland Hills Blvd, Lakeland, FL 33805-3203 | 2013-08-20 |
| 1720323512 | Select Physical Therapy | Specialist | 3317 Us Highway 98 S Ste 6, Lakeland, FL 33803-8316 | 2012-12-05 |
| 1871865980 | William Riley Kendrick Jr. | Specialist | 3358 Bentbrooke Cv, Lakeland, TN 38002-5746 | 2012-02-04 |
| 1255654554 | Hai Yang | Specialist | 6838 Huntington Hills Blvd, Lakeland, FL 33810-5378 | 2010-03-01 |
| 1366688954 | Jeanne Martha Raschke | Specialist | 315 Faye Cir N, Lakeland, FL 33813-1512 | 2009-01-02 |
| 1245486869 | King Fernand | Specialist | 2240 Us Highway 92 E, Lakeland, FL 33801-2448 | 2008-08-14 |
| 1043480502 | American Care of Tampa Inc. | Specialist | 2600 Industrial Park Dr, Suite C, Lakeland, FL 33801-7135 | 2008-03-11 |
| 1962556878 | North Lakeland Pain & Trauma Inc | Specialist | 5516 Us 98 North, Lakeland, FL 33809 | 2007-01-22 |
| Find all providers in LAKELAND | ||||
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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.