BARTOW HMA PHYSICIAN MANAGEMENT, LLC (NPI# 1275622995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275622995 |
| Entity Type | Organization |
| Organization Name | BARTOW HMA PHYSICIAN MANAGEMENT, LLC |
| Other Organization Name | SOUTHPOINT MEDICAL GROUP |
| Practice Address |
3644 Innovation Dr Lakeland FL 33812-4105 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 8637012053 |
| Practice Fax Number | 8636465834 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395989433 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southpoint Medical Group | Doing Business As Name - Organization |
| Street Address |
3644 INNOVATION DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33812-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275896664 | Bartow Hma Physician Management LLC | Surgery | 3644 Innovation Dr, Lakeland, FL 33812-4105 | 2012-06-20 |
| 1609172733 | Bartow Hma Physician Management LLC | Surgery | 3644 Innovation Dr, Lakeland, FL 33812-4105 | 2011-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891036976 | Arlene Nitza Hunt | Counselor | 5421 Us Highway 98 S, Lakeland, FL 33812 | 2013-03-14 |
| 1952648867 | Christopher Benka | Pharmacist | 5185 Us Highway 98 S, Lakeland, FL 33812 | 2013-01-11 |
| 1407105083 | Elena Kan | Dentist | 5644 Vintage View Boulevard, Lakeland, FL 33812 | 2012-08-29 |
| 1760611412 | Blanca Lilia Fernandez | Dentist | 5163 Us Highway 98 S, Lakeland, FL 33812 | 2009-07-02 |
| 1033314190 | Gustavo Alberto De Jesus-gomez | Surgery | 5907 Hillside Heights Dr., Lakeland, FL 33812 | 2007-06-19 |
| 1760600142 | Internal Medicine Specialists Medical Group Pa | Internal Medicine | 3655 Innovation Dr, Lakeland, FL 33812 | 2007-04-23 |
| 1124171475 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 5155 Us Highway 98 South, Suites 5b&5c, Lakeland, FL 33812 | 2007-01-19 |
| 1356322234 | Carlos M Romero | Family Medicine | 3655 Innovation Drive, Lakeland, FL 33812 | 2005-11-08 |
| 1427055318 | Roxann Castelli Cook | Family Medicine | 2803 Meridian Point Lane, Lakeland, FL 33812 | 2005-07-07 |
| 1316577513 | Ashley Joanne Reckord | Counselor | 5421 Us Highway 98 S, Lakeland, FL 33812 | 2020-01-16 |
| Find all providers in zip 33812 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033308515 | Lakeland Urology Pa | Urology | 4435 Florida National Dr, Lakeland, FL 33813-1516 | 2007-10-19 |
| 1003851957 | Stanley H Shrom | Urology | 4729 Us Highway 98 S, Lakeland, FL 33812-4323 | 2006-06-17 |
| 1003809021 | Matthew S. Smith | Urology | 5015 Hancock Lake Rd, Lakeland, FL 33812-7700 | 2005-08-24 |
| 1346358348 | Graham Foley Greene | Urology | 3525 Lakeland Hills Blvd, Lakeland Regional Cancer Center, Lakeland, FL 33805-1965 | 2006-08-29 |
| 1962518837 | Rakesh Pravin Patel | Urology | 130 Pablo St, Lakeland, FL 33803-3818 | 2006-08-22 |
| 1740201144 | Chester C Wilmot | Urology | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2006-07-21 |
| 1497705727 | Mark Joseph Swierzewski | Urology | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 | 2006-05-10 |
| 1124091566 | James Allen Wilson | Urology | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-02-08 |
| 1265404412 | Thomas Christopher Mclaughlin | Urology | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-02-02 |
| 1649241134 | David Lowell Bowers | Urology | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2006-02-01 |
| 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.