HARRY W EICHENBAUM MD PA (NPI# 1265671549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265671549 |
| Entity Type | Organization |
| Organization Name | HARRY W EICHENBAUM MD PA |
| Practice Address |
4320 Central Ave St Petersburg FL 33711-1141 |
| Mailing Address |
4320 Central Ave Saint Petersburg FL 33711-1141 |
| Practice Telephone | 7273453621 |
| Practice Fax Number | 7273814934 |
| Mailing Telephone | 7273453621 |
| Mailing Fax Number | 7273814934 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | DR. MARK S EICHENBAUM (PRESIDENT) |
| Authorized Official Telephone | 7273453621 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MES 100677 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4320 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33711-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1215130943 | Humberto Perez | Internal Medicine | 6450 38th Ave N Ste 300, St Petersburg, FL 33710-1649 | 2007-06-08 |
| 1124047428 | Akshay M. Desai | Internal Medicine | 5880 49th Street North, Suite 101 N, St Petersburg, FL 33709-2148 | 2006-07-18 |
| 1124019724 | Deidra R Woods | Internal Medicine | 2191 9th Ave N Ste 110, St Petersburg, FL 33713-7147 | 2005-11-02 |
| 1891345419 | Mundial Medical Clinic LLC | Internal Medicine | 6450 38th Ave N Ste 300, St Petersburg, FL 33710-1649 | 2019-09-16 |
| 1932526514 | Javier A Lopez Moncayo | Internal Medicine | 2299 9th Ave N, N Suite 1f, St Petersburg, FL 33713-6800 | 2014-03-21 |
| 1124469770 | Complete Primary Care Inc | Internal Medicine | 6006 49th St N, Suite 120, St Petersburg, FL 33709-2148 | 2013-07-11 |
| 1013035146 | American Family & Geriatric Care Pa | Internal Medicine | 5880 49th St N, Suite 101 N, St Petersburg, FL 33709-2150 | 2007-03-27 |
| 1740398676 | Jane E Kienle | Internal Medicine | 7111 1st Ave S, St Petersburg, FL 33707-1223 | 2006-08-29 |
| 1083677322 | Shaun Isaac | Internal Medicine | 603 7th St S, Suite 330, St Petersburg, FL 33701-4719 | 2006-04-08 |
| 1982683678 | Mihaela Soran | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2006-01-11 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33711 |
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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.