MARC C. PEDEN (NPI# 1316028335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316028335 |
| Entity Type | Individual |
| Full Name | MARC C. PEDEN |
| Credential | MD |
| Practice Address |
602 S Macdill Ave Tampa FL 33609-4614 |
| Practice Telephone | 8138756373 |
| Practice Fax Number | 8138760960 |
| Mailing Telephone | 8138756373 |
| Mailing Fax Number | 8138760960 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME96228 | FL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | TRN6699 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278603600 | 05 |
| Street Address |
602 S MACDILL AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346630274 | Geoffrey M Kwitko Md | Ophthalmology | 311 S Macdill Ave, Tampa, FL 33609-3141 | 2015-01-30 |
| 1619249364 | Maurice Issa Youakim | Ophthalmology | 10505 Lacera Dr, Tampa, FL 33618-4009 | 2012-01-27 |
| 1033375936 | Jennifer S Landy Md Pl | Ophthalmology | 2835 W Deleon St, Suite 206, Tampa, FL 33609 | 2008-07-31 |
| 1366603938 | David Albert Johnson | Ophthalmology | 3225 S Macdill Ave, Suite 129-258, Tampa, FL 33629-8171 | 2008-06-17 |
| 1235311523 | Bradley D Fouraker Md LLC | Ophthalmology | 4905 W Bay Way Pl, Tampa, FL 33629-4833 | 2007-11-29 |
| 1003013665 | E. George Rosanelli, Jr, Md, Pa | Ophthalmology | 2129 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6511 | 2007-06-28 |
| 1346458601 | Melvin Jeffrey White | Ophthalmology | 3103 W Dunwoodie St, Tampa, FL 33629-5211 | 2007-05-18 |
| 1033294012 | Carlos Alberto Solorzano | Ophthalmology | 3233 W Columbus Dr, Tampa, FL 33607-1852 | 2006-10-26 |
| 1548355290 | Steven L. Maskin, M.d., P.a. | Ophthalmology | 3001 W Swann Ave, Tampa, FL 33609-4022 | 2006-10-04 |
| 1295845550 | Geoffrey Malcom Kwitko | Ophthalmology | 608 S Tampania Ave, Tampa, FL 33609-4143 | 2006-08-30 |
| 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.