N.B. EDGERTON, JR., M.D., P.A. (NPI# 1336454214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336454214 |
| Entity Type | Organization |
| Organization Name | N.B. EDGERTON, JR., M.D., P.A. |
| Practice Address |
4510 W Bay To Bay Blvd Tampa FL 33629-6537 |
| Mailing Address |
2706 W Dr Martin Luther King Jr Blvd Suite A Tampa FL 33607-6360 |
| Practice Telephone | 8138758650 |
| Mailing Telephone | 8138758650 |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |
| Authorized Official Name | DR. NORMAN B EDGERTON JR. (OWNER) |
| Authorized Official Telephone | 8138758650 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME0027671 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4510 W BAY TO BAY BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477842482 | Roshanak Rabbanifard | Internal Medicine | 12901 Bruce B Downs Blvd # 82, Tampa, FL 33612-4742 | 2011-03-30 |
| 1750618955 | Renee Mary Marchioni Beery | Internal Medicine | 13330 Usf Laurel Dr Fl 6, Morsani Center for Advanced Healthcare, Tampa, FL 33612-6601 | 2009-11-09 |
| 1043466568 | Ishwari Prasad Md Ph D Pa | Internal Medicine | 14447 University Cove Place, Tampa, FL 33613 | 2008-08-15 |
| 1043471014 | Carla Melyssa Duffoo | Internal Medicine | 13000 Bruce B. Downs Blvd (111b), Tampa, FL 33612 | 2008-06-22 |
| 1356540785 | Westchase Gastroenterology P A | Internal Medicine | 11912 Sheldon Rd Ste B, Tampa, FL 33626-3643 | 2007-07-16 |
| 1003905605 | Sandra Maritza Jara | Internal Medicine | 10034 Cypress Shadow Ave, Tampa, FL 33647-1858 | 2006-10-12 |
| 1053403923 | Martin Maldonado-alfandari | Internal Medicine | 14547 Bruce B. Downs Blvd., Tampa, FL 33613 | 2006-09-29 |
| 1821103573 | Robert Gilbert | Internal Medicine | 14547 Bruce B Dawns Blvd #a, Tampa, FL 33613 | 2006-08-21 |
| 1114032760 | Barry Frank | Internal Medicine | 14547 Bruce B Downs Blvd # A, Tampa, FL 33613-2709 | 2006-08-21 |
| 1043221005 | Frederick Louis Slone | Internal Medicine | 552 Riviera Dr, Tampa, FL 33606-3808 | 2006-08-11 |
| 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.