JACK EARL MANISCALCO (NPI# 1285682872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285682872 |
| Entity Type | Individual |
| Full Name | JACK EARL MANISCALCO |
| Credential | MD |
| Practice Address |
2816 W Virginia Ave Neurological Specialties Neurosurgery Pa Tampa FL 33607-6330 |
| Practice Telephone | 8138766321 |
| Practice Fax Number | 8138700350 |
| Mailing Telephone | 8138766321 |
| Mailing Fax Number | 8138700350 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME0023743 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CHAMPUS | F70917030 | 01 | |
| FL | BCBS | 71703 | 01 |
| FL | MEDICAL LICENSE | ME0023743 | 01 |
| FL | 059512800 | 05 | |
| RAILROAD MEDICARE | 406143136 | 01 |
| Street Address |
2816 W VIRGINIA AVE NEUROLOGICAL SPECIALTIES NEUROSURGERY PA |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265490502 | Neurological Specialties Neurosurgery Pa | Neurological Surgery | 2816 W Virginia Ave, Neurological Specialties Neurosurgery Pa, Tampa, FL 33607-6330 | 2006-05-03 |
| 1124394382 | Demetrios Konstas | Psychiatry & Neurology | 2816 W Virginia Ave, Tampa, FL 33607-6330 | 2012-03-31 |
| 1164511168 | Brody Lars Henkel | Psychiatry & Neurology | 2816 W Virginia Ave, Tampa, FL 33607-6330 | 2006-10-11 |
| 1205884111 | Thomas M Newman | Psychiatry & Neurology | 2816 W Virginia Ave, Tampa, FL 33607-6330 | 2006-05-04 |
| 1932167566 | Neurological Specialties Neurology Pa | Psychiatry & Neurology | 2816 W Virginia Ave, Tampa, FL 33607-6330 | 2006-05-03 |
| 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 | 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.