DR. CLINTON C. PITTMAN (NPI# 1316938699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316938699 |
| Entity Type | Individual |
| Full Name | DR. CLINTON C. PITTMAN |
| Other Name | CHRIS PITTMAN |
| Credential | M. D. |
| Practice Address |
2815 W Virginia Ave Ste A Tampa FL 33607-6357 |
| Mailing Address |
1099 Shipwatch Cir Tampa FL 33602-5736 |
| Practice Telephone | 8558346911 |
| Practice Fax Number | 8134435600 |
| Mailing Telephone | 8558346911 |
| Mailing Fax Number | 8134435600 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2016-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
ME0064760 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME0064760 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME64760 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE | 1159488 | 01 |
| FL | 375122800 | 05 | |
| FL | AETNA | 4602329 | 01 |
| FL | BCBS | 23826 | 01 |
| FL | MEDICARE RAILROAD | P01549711 | 01 |
| FL | SUNSHINE | 170612 | 01 |
| Street Address |
2815 W VIRGINIA AVE STE A |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144774555 | Angela Kathleen Sheffield | Physician Assistant | 2815 W Virginia Ave, Ste A, Tampa, FL 33607-6357 | 2016-08-15 |
| 1295039691 | Chris Pittman Md Pa | Radiology | 2815 W Virginia Ave, Suite A, Tampa, FL 33607-6357 | 2010-12-29 |
| 1629305883 | Amber Wallace Loper | Physician Assistant | 2815 W Virginia Ave, Ste A, Tampa, FL 33607-6357 | 2009-11-09 |
| 1265649370 | James Odell Brookins Jr. | Internal Medicine | 2815 W Virginia Ave, Ste A, Tampa, FL 33607-6357 | 2007-05-17 |
| 1396965414 | Leyun Shao | Acupuncturist | 2815 W Virginia Ave, Suite B, Tampa, FL 33607-6357 | 2007-04-30 |
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922180009 | South Tampa Imaging Associates Pa | Radiology | 2901 Swann Ave, Tampa, FL 33609-4056 | 2006-10-19 |
| 1194783761 | Harvey M Wiener | Radiology | 100 S Ashley Dr, Suite 600, Tampa, FL 33602-5304 | 2006-05-03 |
| 1225313000 | Summit Health Specialists, P.l. | Radiology | 15511 N Florida Ave, Suite B3, Tampa, FL 33613-1263 | 2011-10-12 |
| 1124317318 | Interventional Radiology Associates of Tampa LLC | Radiology | 1 Tampa General Cir, Tampa General Hospital, Radiology Dept, Tampa, FL 33606-3571 | 2011-03-29 |
| 1417246547 | Interventional Radiology Associates of Tampa LLC | Radiology | 6001 Webb Rd, Town & Country Hospital, Radiology Dept, Tampa, FL 33615-3241 | 2011-03-29 |
| 1821396342 | Interventional Radiology Associates of Tampa LLC | Radiology | 2700 University Square Dr, Interventional Radiology Assoc of Tampa LLC, Tampa, FL 33612-5513 | 2011-03-08 |
| 1295039691 | Chris Pittman Md Pa | Radiology | 2815 W Virginia Ave, Suite A, Tampa, FL 33607-6357 | 2010-12-29 |
| 1477873750 | Glenn Hoots | Radiology | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2010-06-09 |
| 1730401373 | North Tampa Radiology Consultants, Pa | Radiology | 6001 Webb Road, Tampa, FL 33615-3241 | 2010-02-24 |
| 1750519252 | Danny Rafik Lababidi | Radiology | 100 S Ashley Dr, Suite 1500, Tampa, FL 33602-5304 | 2009-06-24 |
| 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.