JOSHUA HACKENBERG (NPI# 1316591324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316591324 |
| Entity Type | Individual |
| Full Name | JOSHUA HACKENBERG |
| Credential | PA-C |
| Practice Address |
777 N Ashley Dr Unit 2007 Tampa FL 33602-4375 |
| Practice Telephone | 5704907195 |
| Mailing Telephone | 5704907195 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9112319 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
777 N ASHLEY DR UNIT 2007 |
| City | TAMPA |
| State | FL |
| Zip Code | 33602-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482088 | Michael P. Flynn | Radiology | 1003 Bay Harbour Place, Tampa, FL 33602 | 2019-11-18 |
| 1821649211 | Shannon Tracy Munz | Nurse Practitioner | 203 N Marion St, Tampa, FL 33602 | 2019-09-26 |
| 1932682846 | Ferrara Dental Pllc | Dentist | 201 East Kennedy Blvd, Suite 1425, Tampa, FL 33602 | 2018-09-07 |
| 1639668692 | Darrell Wayne Fennell Jr. | Counselor | 400 N Ashley Dr Ste 2600, Tampa, FL 33602 | 2018-05-05 |
| 1093233967 | Synergic Healthcare Solutions LLC | Clinic/Center | 303 W Palm Ave, Tampa, FL 33602 | 2017-08-31 |
| 1568980464 | Drsoncalls | General Practice | 449 S 12th St., Unit 2801, Tampa, FL 33602 | 2017-08-31 |
| 1386178283 | Charles Stuart | Occupational Therapy Assistant | 313 E. Oak Ave, Tampa, FL 33602 | 2017-04-18 |
| 1285172122 | Frank Watson | Chiropractor | 1004 North Florida Ave., Tampa, FL 33602 | 2017-02-10 |
| 1295189801 | Stephanie Buchman | Student in an Organized Health Care Education/Training Program | 1156 Shipwatch Circle, Tampa, FL 33602 | 2016-04-20 |
| 1093189896 | Jonnique Adjmul | Counselor | 300 E Madison St Ste 201, Tampa, FL 33602 | 2015-11-17 |
| Find all providers in zip 33602 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| 1144839796 | Alana Marie Arcese | Physician Assistant | 10401 Villa View Cir, Tampa, FL 33647-2598 | 2020-07-29 |
| 1437768512 | Jessica Lynn Flores-mcgrath | Physician Assistant | 14411 Audubon Trce Apt 912, Tampa, FL 33613-5402 | 2020-07-24 |
| 1417574104 | Hunter Vila | Physician Assistant | 5033 W Laurel St Ste 100, Tampa, FL 33607-3855 | 2020-06-29 |
| 1003432360 | Jennifer Rose Baker Koebert | Physician Assistant | 4001 E Fletcher Ave Fl 6, Tampa, FL 33613-4808 | 2020-06-23 |
| 1487277109 | Victoria Mahi Verzwyvelt | Physician Assistant | 4714 N Habana Ave Apt 510, Tampa, FL 33614-7126 | 2020-05-28 |
| 1538780853 | Lexy Hazle | Physician Assistant | 2715 W Mississippi Ave, Tampa, FL 33629-6131 | 2020-04-27 |
| 1619509494 | Amy Sullinger | Physician Assistant | 207 S Occident St, Tampa, FL 33609-2526 | 2020-02-10 |
| 1225668122 | Michelle Korthauer | Physician Assistant | 1531 W Lemon St Apt 1101, Tampa, FL 33606-1014 | 2020-01-20 |
| 1992344360 | Marisa Ehrlich Berger | Physician Assistant | 311 W Idlewild Ave, Tampa, FL 33604-6656 | 2020-01-02 |
| 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.